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KMID : 0213520130270010034
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Korean Journal of Ophthalmology
2013 Volume.27 No. 1 p.34 ~ p.38
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Long-term Results of Deep Sclerectomy with Small Collagen Implant in Korean
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Rho Seung-Soo
Kang Sung-Yong
Hong Sa-Min
Seong Gong-Je
Jung Jong-Jin
Kim Chan-Yun
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Abstract
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Purpose: To describe the long-term results of deep sclerectomy with collagen implant (DSCI) with or without adjuvant mitomycin C in Korean patients with primary or secondary open-angle glaucoma (OAG).
Methods: This retrospective review was comprised of 65 Korean patients who received DSCI with or without adjuvant mitomycin C due to primary or secondary OAG. Patients were followed for 72 months after surgery. Complete success was defined as intraocular pressure (IOP) <21 mmHg without medication and qualified success was defined as IOP <21 mmHg with or without medication.
Results: Mean postoperative follow-up period was 53.0 ± 16.2 months. Mean IOP was 30.5 ± 11.7 mmHg preoperatively, 8.4 ± 4.3 mmHg at postoperative day one and 13.4 ± 3.8 mmHg 60 months after surgery. The mean number of glaucoma medications was decreased from 3.6 ± 1.1 to 1.6 ± 1.3 at 60 months after the operation. Complete and qualified success rates were 36.7% and 79.6% at postoperative 60 months, respectively (Kaplan-Meier survival curve). No shallow or flat anterior chamber, endophthalmitis, or surgery-induced significant cataract was observed.
Conclusions: The results of DSCI in Korean patients presented here seem reasonably excellent with qualified success rates of over 70% at six years with negligible complications.
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KEYWORD
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Deep sclerectomy, Koreans, Open-angle glaucoma, Small collagen implant
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