Suprachoroidal implant surgery in intractable glaucoma.

Abstract

PURPOSE:

To report the early results of suprachoroidal silicone implant surgery in intractable glaucoma.

MATERIALS AND METHODS:

A modified silicone implant with no valve was implanted into the suprachoroidal space of 15 eyes with intractable glaucoma.

RESULTS:

The mean age of the patients was 53.0 ± 24.5 (range 7-85) years, the mean follow-up time was 17.1 ± 4.8 (range 10-28) months, and the mean preoperative intraocular pressure (IOP) of patients receiving two or more medications was 33.1 ± 9.8 mmHg. At the last follow-up visit, mean IOP was 16.5 ± 7.9 (range 10-35) mmHg (Wilcoxon signed rank test, p = 0.001). The functional success, i.e., IOP ≤21 mmHg both with and without antiglaucomatous drugs, was 93.3%. The total success rate, i.e., IOP ≤21 mmHg without medication, was 13.3%. The average number of antiglaucomatous drugs used was 3.8 (range 2-5) preoperatively, and 2.2 postoperatively (range 0-4) (Wilcoxon signed rank test, p = 0.011). There was a ≥30% decrease in the IOP of 66.6% of the eyes. Shallow choroidal detachment as proof of drainage was evident in all cases.

CONCLUSION:

Drainage of the aqueous humor from the anterior chamber to the suprachoroidal space via implantation of a modified silicone implant is effective in lowering the IOP in intractable glaucoma.

• Authors: Melis Palamar, Halil Ates, Zafer Oztas, Emil Yusifov
• Journal: Japanese journal of ophthalmology (Jpn J Ophthalmol) Vol. 55 Issue 4 Pg. 351-355 (Jul 2011) ISSN: 1613-2246 [Electronic] Japan
• PMID: 21617958 (Publication Type: Journal Article)

Chemical References

• Antihypertensive Agents
• Silicones

Topics

• Adult
• Aged
• Aged, 80 and over
• Antihypertensive Agents (therapeutic use)
• Aqueous Humor (metabolism)
• Child
• Choroid (surgery)
• Female
• Follow-Up Studies
• Glaucoma Drainage Implants
• Glaucoma, Open-Angle (physiopathology, surgery)
• Humans
• Intraocular Pressure (physiology)
• Male
• Middle Aged
• Retrospective Studies
• Silicones
• Surgical Flaps
• Tonometry, Ocular
• Young Adult