Authors: Jordi Loscos Xavier Valldeperas Klaus Langhor Àngels Parera Pau Romera Antoni Sabala Julio de la Cámara
Publish Date: 2015/01/30
Volume: 35, Issue: 5, Pages: 693-699
Abstract
The aim was to report the results of deep sclerectomy DS with supraciliary hema implant and the influence of the surgical complications on intraocular pressure IOP Fortyeight eyes of 41 patients with open angle glaucoma OAG who underwent DS with supraciliary hema implant Esnoper® V2000 were included in this study A significant IOP reduction was observed changing from a preoperative mean of 246 ± 633 mmHg to 165 ± 44 mmHg p 0001 at 12 months and 161 ± 34 mmHg p 0001 at 24 months Similarly a significant reduction in the number of glaucoma drugs needed was observed varying from 271 to 022 p 0001 and 04 p 0001 1 and 2 years after surgery Goniopuncture with the NdYag Laser was performed in 30 eyes 625 with a mean time between the surgery and the procedure of 150 days producing a mean IOP reduction of 40 mmHg p 0001 The main intraoperative complications were microperforation of the trabeculodescemetic membrane TDM in 1 eye 208 The main early postoperative complications were seidel at 24 h in 11 eyes 2291 hyphema in 7 eyes 1458 choroidal detachment in 3 eyes 625 with macular folds in 2 416 and need for additional mitomycin injections in 2 eyes 416 All these complications were spontaneously resolved No correlation between these complications and final IOP was found but a significant correlation between the presence of hyphema and higher IOP 24 months postoperatively p = 0048 was observed DS with supraciliary hema implant is a safe and effective technique for the management of OAG The presence of hyphema during the first week after the surgery could be considered as a negative prognostic factor in DS with supraciliary implantation
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