1. Antoaneta Adžić Zečević, 2. Biljana Milojko, KCCG, Andorra
THE EFFECTIVENESS OF NON-PENETRATE DEEP SCLERECTOMY WITH COLLAGEN IMPLANT IN THE MYOPIC EYES Biljana Milojko, Antoaneta Adžić Zečević Klinika za očne bolesti, KCCG The purpose of our study was to examine the effectiveness of anti-glaucomatous surgery - non-penetrate deep sclerectomy with collagen implant and to assess the character and frequency of complications for the given intervention in myopic eyes. The material and methods Patients who were included in this study had myopia and uncontrolled IOP with maximum hypotensive therapy. The group consisted of 21 patients with myopia of -2 to -9 diopters. IOP was 20.5 ± 4.8 before surgery. The technique of the operation was the standard one, where the only difference was appliance of the injection of lidocaini to the sub-conjunctive in order to ease separation of the conjunctiva from sclera, which is very thin in the myopic eyes. Ophthalmologic examinations were performed before and after the surgery at week one, and later monthly, quarterly, on a semi-annual basis, annually, 18 months and finally 24 months. Ultrasound biomicroscopy was performed quarterly and on an annual basis. Results Patients were monitored for 48 ± 2 months. Postoperative IOP was 16 ± 2.3. Complications of ablation as horioidee and hyphema were not found. In two cases after 6 and 8 months, and also in two cases after only 12 months (19%) IOP is increased and it was necessary to include medical therapy. Goniopuncture with the Nd: YAG laser was performed in two cases. Conclusion: non-penetrate deep sclerectomy with collagen implant is safe and effective for myopic patients and due to very few postoperative complications can be considered as the choice of surgery.
Кључне речи :
Тематска област:
glaukom
Уводни рад:
Да
Датум:
04.04.2012.
Бр. отварања:
628
