Outcome of Primary Nonpenetrating Deep Sclerectomy in Patients with Steroid-Induced Glaucoma
Joint Authors
Helaly, Hany Ahmed
Elhofi, Abdelhamid
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To evaluate the outcome of primary nonpenetrating deep sclerectomy (NPDS) in patients with steroid-induced glaucoma.
Methods.
This was a retrospective interventional clinical study that included 60 eyes of 60 steroid-induced glaucoma patients that had undergone NPDS.
Patients were followed up for 4 years.
Data from the records was retrieved as regards corrected distance visual acuity (CDVA), intraocular pressure (IOP), visual field mean defect (dB), and number of antiglaucoma medications needed if any.
Complete success of the surgical outcome was considered an IOP ≤ 21 mmHg with no antiglaucoma medications.
Qualified success was considered an IOP ≤ 21 mmHg using antiglaucoma medications.
Results.
The mean age was 21.2 ± 8.5 years (ranged from 12 to 35 years).
At 48 months, mean IOP was 13.6 ± 2.8 mmHg (range 11–23 mmHg).
This represented 60% reduction of mean IOP from preoperative levels.
One case had YAG laser goniopuncture.
Three cases required needling followed by ab interno revision.
Using ANOVA test, there was a statistically significant difference between preoperative and postoperative mean IOP values (P=0.032).
Twelve, 16, and 20 patients required topical antiglaucoma medications at 24, 26, and 48 months postoperative, respectively.
Conclusion.
Primary nonpenetrating deep sclerectomy is a safe and an effective method of treating eyes with steroid-induced glaucoma.
No major complications were encountered.
After 4 years of follow-up, complete success rate was 56.7% and qualified success rate was 70%.
American Psychological Association (APA)
Elhofi, Abdelhamid& Helaly, Hany Ahmed. 2018. Outcome of Primary Nonpenetrating Deep Sclerectomy in Patients with Steroid-Induced Glaucoma. Journal of Ophthalmology،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1197125
Modern Language Association (MLA)
Elhofi, Abdelhamid& Helaly, Hany Ahmed. Outcome of Primary Nonpenetrating Deep Sclerectomy in Patients with Steroid-Induced Glaucoma. Journal of Ophthalmology No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1197125
American Medical Association (AMA)
Elhofi, Abdelhamid& Helaly, Hany Ahmed. Outcome of Primary Nonpenetrating Deep Sclerectomy in Patients with Steroid-Induced Glaucoma. Journal of Ophthalmology. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1197125
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197125