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Longterm Efficiency of a Deep Sclerectomy with T-Flux Implant


Authors: P. Studený 1,2;  L. Koliášová 1;  D. Siveková 2;  J. Vránová 3;  P. Kuchynka 2
Authors‘ workplace: Oční oddělení Karlovarské krajské nemocnice a. s., prim. MUDr. Andrej Farkaš 1;  Oční klinika FNKV a 3. LF UK, Praha, přednosta prof. MUDr. Pavel Kuchynka, CSc. 2;  Ústav lékařské biofyziky a lékařské informatiky, 3. LF UK, Praha, přednosta doc. MUDr. Jozef Rosina, Ph. D. 3
Published in: Čes. a slov. Oftal., 67, 2011, No. 1, p. 7-11
Category: Original Article

Overview

Purpose:
To evaluate a longterm efficiencyt of a deep sclerectomy with T-Flux implant on intraocular pressure

Methods:
Retrospective noncomparative analysis of glaucomatic patiens from our ambulance who underwent deep sclerectomy combined with T-flux implantation. The main postoperative outcome measures were intraocular pressure (IOP), number of treatments and Nd:YAG goniopunctures.

Results:
Mean preoperative IOP was 26,7 (± 0,8) mmHg, mean postoperative IOP was 17,4 (± 0,8) at month 6, 16,5 (± 0,7) at month 12, 16,9 (± 0,9) at month 24, 17,2 (± 1,0) at month 36, 18,6 (± 1,1) at month 48, 17,6 (± 1,1) at month 60 and 18,3 (± 1,8) at month 72. Mean preoperative number of mediactions per patient was reduced from 2,5 (± 0,13) to 0,73 (± 0,13) at month 6,1,02 (± 0,13) at month 12, 1,1 (± 0,15) at month 24, 1,0 (± 0,18) at month 36, 1,22 (± 0,18) at month 48, 1,68 (± 0,2) at month 60, 1,8 (± 0,3) at month 72. Four patiens (10%) underwent early goniopuncture and six patiens (15%) late goniopuncture.

Conclusion:
Deep sclerectomy combined with T-Flux implant appears to be a relatively safe antiglaucomatic surgery with a minimum number of complications, high predictibility of the result and a very good long term effectivity.

Key words:
deep sclerectomy, T-Flux, goniopuncture


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