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NR 1-2/2004
SUPLEMENT
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Zastosowanie
nieprzenikającej sklerektomii głębokiej w leczeniu
zaawansowanych postaci jaskry pierwotnej otwartego kąta
przesączania
Non-penetrating deep
sclerectomy in the treatment of advanced cases of open angle
glaucoma
Ariadna Gierek-Łapińska, Rafał
Leszczyński, Andrzej Wróbel
Z Katedry i Kliniki Okulistyki Śląskiej Akademii Medycznej w
Katowicach
Kierownik: prof. dr hab. n. med. Ariadna Gierek-Łapińska |
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| Summary: |
Purpose: The
purpose of the paper was to examine the efficacy of
non-penetrating deep sclerectomy (NPDS) with sodium
hyaluronate implants and mitomycin C in the treatment of
advanced cases of open angle glaucoma.
Material and methods: Thirty-five eyes of 35
patients with medically uncontrolled advanced open angle
glaucoma were retrospectively analyzed. Visual acuity
and intraocular pressure measurement were performed
before and after surgery at 1 and 7 days and 1, 6 and 12
months. Visual field was analyzed before and 12 months
after surgery.
Results: The mean preoperative intraocular
pressure was 27±3,1 mm Hg and 18,1±1,5 at 12 month after
surgery (p<0,05). Visual acuity decreased more than two
rows on Snellen chart in 4 patients. Visual field
analysis shows mean defect MD-17±5.2 before surgery and
20,1 ± 6,2 after 12 month of follow up (p>0,05).
Complete success rate defined as an IOP lower than
21mmHg without medications was 51%. In 3 eyes we
performed needling and in 8 goniopuncture. Postoperative
complications included hyphaema in 3 eyes, choroidal
detachement in 1 eye, bleb fibrosis in 2 eyes.
Conclusions: 1. Deep sclerectomy with SK-GEL
implant and antimetabolites provided good reasonable
control of intraocular pressure. 2. In uncomplicated
cases it let us achieve stabilization of the visual
field. |
| Słowa kluczowe: |
jaskra, nieprzenikająca
sklerektomia głęboka, operacje. |
| Key words: |
glaucoma, non-penetrating
deep sclerectomy, surgery. |
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