Bonilla Rosa, Loscos Jordi, Valldeperas Xavier, Parera Maria Àngels, Sabala Antoni
Department of Ophthalmology, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain.
Open Ophthalmol J. 2012;6:59-62. doi: 10.2174/1874364101206010059. Epub 2012 Jun 28.
We present the combined surgery of non-penetrating deep sclerectomy with insertion of the implant in the supraciliary space as an effective and safe surgery for patients with both cataract and primary open angle glaucoma. This study included 20 eyes of 16 patients who were followed up during 12 months. We found a significant intraocular pressure reduction, changing from a preoperative mean of 23 ± 5 mmHg to a postoperative mean of 18 ± 3 mmHg (p<0.002). Similarly, a significant reduction in the number of glaucoma drugs needed was observed, varying from 2.5 ± 0.9 drops per patient to 0.7 ± 0.9 (p<0.0002) at the end of the study. We also report a significant improvement in best-corrected visual acuity, from 5/10 ± 2/10 to 8/10 ± 2/10 (p<0.006), one year after the combined surgery. The only intraoperative complication observed was the microperforation of the trabeculo-descemetic membrane (TDM) and postoperative complications were iris incarceration, seidel test positivity and microhyphema. All these complications resolved successfully.
我们介绍了非穿透性深层巩膜切除术联合在睫状体上腔植入植入物的手术方法，该手术对患有白内障和原发性开角型青光眼的患者来说是一种有效且安全的手术。本研究纳入了16例患者的20只眼，并进行了为期12个月的随访。我们发现眼压显著降低，术前平均眼压为23±5 mmHg，术后平均眼压为18±3 mmHg（p<0.002）。同样，在研究结束时，观察到所需青光眼药物的数量显著减少，每位患者从2.5±0.9滴降至0.7±0.9滴（p<0.0002）。我们还报告了联合手术后一年最佳矫正视力有显著改善，从5/10±2/10提高到8/10±2/10（p<0.006）。观察到的唯一术中并发症是小梁-Descemet膜（TDM）微穿孔，术后并发症包括虹膜嵌顿、Seidel试验阳性和微小前房积血。所有这些并发症均成功解决。
