Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28643797
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28643797
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Eye+(Lond)
2017 ; 31
(7
): 1008-1019
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Deep sclerectomy for uveitic glaucoma: long-term outcomes
#MMPMID28643797
Mercieca K
; Steeples L
; Anand N
Eye (Lond)
2017[Jul]; 31
(7
): 1008-1019
PMID28643797
show ga
PurposeTo report long-term outcomes of deep sclerectomy (DS) in eyes with raised
intraocular pressure (IOP) and glaucoma secondary to uveitis.Patients and
methodsRetrospective consecutive case series of 43 eyes of 43 patients with
uveitic glaucoma. Mitomycin C (MMC) 0.2-0.4?mg/ml was applied sub-conjunctivally
prior to scleral flap dissection for 2-3?min in 35 eyes (81%). Combined
phacoemulsification and DS was done in 4 cases (9%).ResultsMean follow-up was
68.5±33.5 months. In total, 23 eyes (53.5%) had previous intraocular surgery.
Pre-operative IOP was 33.6±12.0?mm?Hg. Mean IOP at one, three and five years
after surgery was 15.5±5.0?mm?Hg, 16.9±6.7?mm?Hg and 16.4±5.2?mm?Hg,
respectively.The probability of IOP <22 and <19?mm?Hg was 69 and 62% at 3 years
and 60 and 51% at 5 years, respectively. This included eyes that had undergone
needle revision and/or laser goniopuncture within that period but had not needed
glaucoma medication or further glaucoma procedures. The overall number of
glaucoma medications decreased from 3.0±1.2 to 0.8±1.2 by last follow-up
(P<0.001). Serious complications included hypotony with macular folds in two eyes
and occlusion of the trabeculo-Descemet's membrane (TDM) by iris in two eyes.
Recurrence of uveitis was observed in 16 eyes. Seven eyes (16.3%) had subsequent
procedures including trabeculectomy with MMC in one eye, DS with MMC in two eyes
and Baerveldt tube implantation in five eyes.ConclusionsDS is a safe and
effective procedure to lower IOP in uveitic glaucoma. However, as with other
glaucoma procedures, a significant proportion of patients will require another
IOP-lowering procedure in the long-term.