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KMID : 0213520010150020113
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Korean Journal of Ophthalmology
2001 Volume.15 No. 2 p.113 ~ p.117
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Short term surgical outcomes of modified deep sclerectomy with catgut implant
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Choi Seung-Sik
Kim Sung-Soo
Kim Chan-Yun
Hong Young-Jae
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Abstract
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We compared the effectiveness of and complications resulting from modified deep sclerectomy with catgut implant (modified-DSCI) with those of standard deep sclerectomy with collagen implant (DSCI) in the short term following surgery. In this
retrospective study, standard-DSCI was performed on thirteen patients (17 eyes), and modified-DSCI was performed on seven patients (11 eyes). After dissection of a 5x5㎜ sized superficial scleral flap, a 3x4㎜ sized rectangular deep scleral flap
was
constructed in DSCI and a 2x3㎜ sized triangular deep scleral flap in modified DSCI. A collagen implant was placed on the scleral bed in DSCI and # 0 CHROMIC Catgut Absorbable Suture was used in modified DSCI. The mean follow up was 11.0±6.1
months in
DSCI and 9.3±4.7 months in modified DSCI. The mean preoperative intraocular pressure (IOP) was 38.6±10.9 ㎜Hg in DSCI and 34.8±8.6 ㎜Hg in modified DSCI. In the DSCI group, the IOP was 13.4±3.0 ㎜Hg at final follow up, and was 11.4±3.2 ㎜Hg
in
the
modified DSCI group. The number of Nd:YAG goniopuncture was 3 cases (25%) in the modified DSCI group, and 3 cases (21.4%) in the DSCI group. The number of intraoperative microperforations was 3 in the DSCI group and 2 in the modified DSCI group.
Temporary hypotony was encountered in 8 eyes (57.1%) of the DSCI group and 4 eyes (50%) of the modified DSCI group. There was no significant difference observed between the two groups in regards to the effectiveness or rate of complications seen
during
short term follow up.
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