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KMID : 0360220030440061346
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Journal of the Korean Ophthalmological Society
2003 Volume.44 No. 6 p.1346 ~ p.1350
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Surgical Outcomes of Conventional Trabeculectomy Converted from Deep Sclerectomy with Collagen Implant (DSCI)
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Kim Sang-Hoon
Hong Young-Jae
Kim Chan-Yun
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Abstract
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PURPOSE: To assess the surgical outcomes of the conventional trabeculectomy converted from DSCI due to a perforation of trabeculo-descemet´s membrane during surgery.
METHODS: We retrospectively analyzed the surgical outcomes of 9 patients (11 eyes) who underwent the conventional trabeculectomy converted from DSCI during surgery.
RESULTS: The mean age of the subjects was 44.6+/-17.8 years. The types of glaucoma of the subjects were primary open angle glaucoma in nine eyes and secondary glaucoma in two eyes. The mean preoperative intraocular pressure(IOP) was 23.4+/-9.5mmHg with 3.0+/-1.2 of mean anti-glaucoma medications. The mean immediate postoperative IOP was 7.7+/-5.3mmHg and 10.5+/-3.9 mmHg with 0.5+/-0.5 of mean anti-glaucoma medications after 12.0+/-6.6 months of mean follow-up period. Defining the qualified success to be 6 to 21 mmHg of IOP with 2 or lower glaucoma medication without complications such as hypotony maculopathy, the success rate was 82%. There were four eyes (36%) having IOP below 4 mmHg and shallow anterior chamber at one day postoperatively. Two eyes of them recovered within 2 weeks, but the other two (18%) developed hypotony maculopathy. Cataract progressed in two eyes (18%).
CONCLUSIONS: The surgical outcomes of conventional trabeculectomy converted from DSCI during surgery was comparable to the elective trabeculectomy, but there was a tendency to have more complications associated with hyperfiltration at the immediate postoperative period.
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KEYWORD
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Converted trabeculectomy, Deep sclerectmy with collagen implant, DSCI, Hyperfiltration
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