CO2-lézerrel végzett mélysclerectomiával szerzett tapasztalatok

Sohajda, Zoltán; Káldi, Ildikó; Facskó, Andrea

doi:10.1556/650.2017.30754

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…The efficacy of CLASS surgery in lowering IOP is confirmed by numerous studies. 6,7,[9][10][11][12] NPDS is the surgical basis for CLASS surgery, and it was proved by Gesser to efficiently stabilize visual field over an 8-year period. 3 Greifner compared the efficacy of NPDS and CLASS in terms of IOP-reduction, and reported total success rate and qualified success rate of CLASS be better than that of NPDS.…”

Section: Discussionmentioning

confidence: 99%

“…According to their results, CLASS surgery reduces IOP very efficiently, at the same time, it also has a high postoperative total success and qualified success rate. [6][7][8][9] Geffen et al report about significant and permanent IOP reduction even after a 3-year follow-up time. 10 In the latest study on the issue by Jankowska-Szmul, the efficacy of CLASS surgery and trabeculectomy was compared.…”

Section: Introductionmentioning

confidence: 99%

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Retinal Nerve Fibre Layer Thickness Change After CO2 Laser-Assisted Deep Sclerectomy Surgery

Sohajda¹,

Széll²,

Revák³

et al. 2020

OPTH

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The goal of our study was to investigate changes in intraocular pressure (IOP), best-corrected visual acuity (BCVA), and retinal nerve fibre layer thickness (RNFLT) after CO2 laser-assisted deep sclerectomy (CLASS). Methods: We carried out uncomplicated CLASS surgeries and a 12-month follow-up on 22 open-angle glaucomatous (OAG) eyes of 22 patients. IOP, BCVA, and RNFLT with spectraldomain optical coherence tomography (SD OCT) were recorded before and 1, 3, 6, 12 months after surgery. Results: Mean age of patients was 68.1 years. IOP decreased from preoperative 28.45±5.99 SD mmHg (mean±standard deviation) to 15.09±2.40 mmHg (p=0.00039) at 12 months after surgery. BCVA-change from preoperative 0.34±0.38 SD (LogMAR) to 0.37±0.41 SD (LogMAR) was not significant (p=0.2456). RNFLT-change from preoperative 60.50 ±18.15µm to 59.63±17.52 µm at 12 months postoperatively was not significant (p=0.056). Qualified success rate of CLASS surgery was 72.7%, whereas complete success rate was 64% at 1 year postoperatively. Conclusion: Successful CLASS surgery efficiently reduced IOP. At postoperative 12 months, RNFLT and BCVA were not reduced significantly. There was no significant glaucomatous progression after surgery encountered in respect of investigated parameters.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retinal Nerve Fibre Layer Thickness Change After CO2 Laser-Assisted Deep Sclerectomy Surgery

Sohajda¹,

Széll²,

Revák³

et al. 2020

OPTH

Self Cite

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show abstract

“…There was a statistically significant difference between CLASS and TRAB in the above postoperative complications, and TRAB group had a higher rate, but no difference in the incidence of iris incarceration (RR=2.40, 95%CI 0.57 ± 10.11, p=0.23). It may be due to the limited data and Reply: efficacy and safety of CO 2 laser-assisted sclerectomy surgery for glaucoma: a systematic review and meta-analysis Resposta: eficácia e segurança da cirurgia de esclerectomia assistida por laser de CO2 para glaucoma: uma revisão sistemática e meta-análise Szmul J, 2018 (7) Sohajda, 2017 (8) Hungary relatively short follow-up period in this study, or the surgeon's technique. CLASS was reported to have both high postoperative complete success rate and qualified success rate (4,7) .…”

mentioning

confidence: 96%

Reply: efficacy and safety of CO2 laser-assisted sclerectomy surgery for glaucoma: a systematic review and meta-analysis

Dai¹,

Li²,

Yu³

et al. 2021

Arquivos Brasileiros De Oftalmologia

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Results of CO2 laser-assisted sclerotomy surgery (CLASS procedures) in eyes with primary open-angle glaucoma

Nagy

Bausz

Kránitz

et al. 2018

DHS

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Purpose This study aimed to examine the effectiveness of CO2 laser-assisted sclerectomy surgery (CLASS) in eyes with primary open-angle glaucoma (POAG) showing progression in spite of maximal local antiglaucomatous therapy. Materials and methods Patients with progressive POAG received CLASS treatment. We performed CLASS on 15 eyes (eight males and seven females). The primary endpoint was the change in the intraocular pressure (IOP), and additionally best spectacle-corrected visual acuity (BSCVA), C/D ratio (cup-to-disc), as well as use of antiglaucomatous drops were also investigated. Following the preoperative assessment, measurements were performed at 6-month follow-up. Results The average preoperative IOP was 26.13 ± 6.79 mmHg that dropped to 9.57 ± 4.09 mmHg at 1 day. IOP was stable at 1 month, 3 months, and 6 months. The BSCVA decreased to the 1-day and 1-week follow-up but returned to its original value to the 1-month check-up. Preoperatively, all patients were on maximal antiglaucoma drop therapy, after CLASS none of the patients needed antiglaucomatous treatment at 1 month. However, at 3 months, one of them needed antiglaucoma drops. C/D ratio showed non-significant changes. Conclusions CLASS procedure was found to be effective in decreasing IOP in POAG patients whose IOP was not compensated with maximal antiglaucomatous local therapy; patients needed significantly less local therapy following the CO2 laser surgery.

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CO₂-lézerrel végzett mélysclerectomiával szerzett tapasztalatok

Cited by 3 publications

References 17 publications

<p>Retinal Nerve Fibre Layer Thickness Change After CO2 Laser-Assisted Deep Sclerectomy Surgery</p>

<p>Retinal Nerve Fibre Layer Thickness Change After CO2 Laser-Assisted Deep Sclerectomy Surgery</p>

Reply: efficacy and safety of CO2 laser-assisted sclerectomy surgery for glaucoma: a systematic review and meta-analysis

Results of CO2 laser-assisted sclerotomy surgery (CLASS procedures) in eyes with primary open-angle glaucoma

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