Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae
Purpose. To report one-year results of phacoemulsification combined with deep sclerectomy and goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae (PAS). Methods. We retrospectively analyzed medical charts of 16 patients (20 eyes) treated by one-site combi...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/625719 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849691358953996288 |
|---|---|
| author | Alireza Mirshahi Peter Raak Katharina Ponto Bernhard Stoffelns Katrin Lorenz Gábor B. Scharioth |
| author_facet | Alireza Mirshahi Peter Raak Katharina Ponto Bernhard Stoffelns Katrin Lorenz Gábor B. Scharioth |
| author_sort | Alireza Mirshahi |
| collection | DOAJ |
| description | Purpose. To report one-year results of phacoemulsification combined with deep sclerectomy and goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae (PAS). Methods. We retrospectively analyzed medical charts of 16 patients (20 eyes) treated by one-site combined phacoemulsification and deep sclerectomy with goniosynechiolysis ab interno. PAS were transected by a spatula introduced into the anterior chamber through a paracentesis. To account for the correlation of right and left eyes a linear mixed model with unstructured covariance structure was calculated. Results. The mean preoperative intraocular pressure (IOP) was 20.3±5.2 mmHg with 2.4±1.0 medications. One year postoperatively, the mean IOP was 15.3±3.3 mmHg (P=0.004, paired t-test) with 0.6±1.0 medications. A postoperative IOP of ≤21 mmHg without medication was achieved in 17 of 19 eyes (89.5%) and in 12/19 eyes (63.2%) at 3 and 12 months after surgery, respectively. In the remaining eyes (10.5% at 3 months and 36.8% at 12 months), additional medication led to an IOP ≤21 mmHg or the target pressure. No case required further glaucoma surgery. In one eye, conversion of the surgery to trabeculectomy was necessary due to Descemet’s window rupture. Conclusions. With goniosynechiolysis ab interno, effective and safe nonpenetrating glaucoma surgery is possible in presence of PAS. |
| format | Article |
| id | doaj-art-e82e30bbad3a43d0bcfdf8e4a2c28f7a |
| institution | DOAJ |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-e82e30bbad3a43d0bcfdf8e4a2c28f7a2025-08-20T03:21:03ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/625719625719Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior SynechiaeAlireza Mirshahi0Peter Raak1Katharina Ponto2Bernhard Stoffelns3Katrin Lorenz4Gábor B. Scharioth5Dardenne Eye Hospital, 53177 Bonn, GermanyAurelios Eye Center, 45657 Recklinghausen, GermanyDepartment of Ophthalmology, University Medical Center, Johannes Gutenberg-University, 55131 Mainz, GermanyDepartment of Ophthalmology, University Medical Center, Johannes Gutenberg-University, 55131 Mainz, GermanyDepartment of Ophthalmology, University Medical Center, Johannes Gutenberg-University, 55131 Mainz, GermanyAurelios Eye Center, 45657 Recklinghausen, GermanyPurpose. To report one-year results of phacoemulsification combined with deep sclerectomy and goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae (PAS). Methods. We retrospectively analyzed medical charts of 16 patients (20 eyes) treated by one-site combined phacoemulsification and deep sclerectomy with goniosynechiolysis ab interno. PAS were transected by a spatula introduced into the anterior chamber through a paracentesis. To account for the correlation of right and left eyes a linear mixed model with unstructured covariance structure was calculated. Results. The mean preoperative intraocular pressure (IOP) was 20.3±5.2 mmHg with 2.4±1.0 medications. One year postoperatively, the mean IOP was 15.3±3.3 mmHg (P=0.004, paired t-test) with 0.6±1.0 medications. A postoperative IOP of ≤21 mmHg without medication was achieved in 17 of 19 eyes (89.5%) and in 12/19 eyes (63.2%) at 3 and 12 months after surgery, respectively. In the remaining eyes (10.5% at 3 months and 36.8% at 12 months), additional medication led to an IOP ≤21 mmHg or the target pressure. No case required further glaucoma surgery. In one eye, conversion of the surgery to trabeculectomy was necessary due to Descemet’s window rupture. Conclusions. With goniosynechiolysis ab interno, effective and safe nonpenetrating glaucoma surgery is possible in presence of PAS.http://dx.doi.org/10.1155/2015/625719 |
| spellingShingle | Alireza Mirshahi Peter Raak Katharina Ponto Bernhard Stoffelns Katrin Lorenz Gábor B. Scharioth Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae Journal of Ophthalmology |
| title | Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae |
| title_full | Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae |
| title_fullStr | Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae |
| title_full_unstemmed | Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae |
| title_short | Deep Sclerectomy with Goniosynechiolysis Ab Interno for Chronic Glaucoma Associated with Peripheral Anterior Synechiae |
| title_sort | deep sclerectomy with goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae |
| url | http://dx.doi.org/10.1155/2015/625719 |
| work_keys_str_mv | AT alirezamirshahi deepsclerectomywithgoniosynechiolysisabinternoforchronicglaucomaassociatedwithperipheralanteriorsynechiae AT peterraak deepsclerectomywithgoniosynechiolysisabinternoforchronicglaucomaassociatedwithperipheralanteriorsynechiae AT katharinaponto deepsclerectomywithgoniosynechiolysisabinternoforchronicglaucomaassociatedwithperipheralanteriorsynechiae AT bernhardstoffelns deepsclerectomywithgoniosynechiolysisabinternoforchronicglaucomaassociatedwithperipheralanteriorsynechiae AT katrinlorenz deepsclerectomywithgoniosynechiolysisabinternoforchronicglaucomaassociatedwithperipheralanteriorsynechiae AT gaborbscharioth deepsclerectomywithgoniosynechiolysisabinternoforchronicglaucomaassociatedwithperipheralanteriorsynechiae |