Nonpenetrating very deep sclerectomy with hyaluronic acid implant vs trabeculectomy — a 2-year follow-up

Leszczyński, Rafał; Formińska-Kapuścik, M; Bubała-Stachowicz, Beata; Mrukwa–Kominek, Ewa; Filipek, Erita; Pawlicki, Krzysztof

doi:10.1007/s00417-012-1985-9

Cited by 15 publications

(14 citation statements)

References 18 publications

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“…Hyphema is more common after trabeculectomy (8) and canaloplasty (9), where it is considered to be a positive factor. Nevertheless, the interpretation of the hyphema in nonpenetrating surgery is different.…”

Section: Discussionmentioning

confidence: 99%

Deep sclerectomy with supraciliary hema implant (Esnoper® V-2000): results and complications

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Deep sclerectomy with supraciliary hema implant (Esnoper® V-2000): results and complications

et al. 2015

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“…Chiselita et al 12 and Cheng et al 1 described lower efficacy than trabeculectomy, in contrast to El Sayyad et al 13 that described similar efficacy. Mitomycin-C and many types of implants (Aquaflow,® SK-Gel,® T-flux,® Esnoper®) 2 have been used to improve the efficacy of this technique, with reported similar results to trabeculectomy, 4 5 14 although it is not consensual. 6 8 Esnoper-Clip® is a nonreabsorbable implant, which objective is to maximize all aqueous humor drainage pathways.…”

Section: Introductionmentioning

confidence: 99%

Anterior Segment Optical Coherence Tomography Imaging of Filtering Blebs after Deep Sclerectomy with Esnoper-Clip Implant: One-year Follow-up

Vieira¹,

Noronha²,

Lemos³

et al. 2014

Journal of Current Glaucoma Practice

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Purpose: To describe the technique of deep sclerectomy with the new Esnoper-Clip® implant, the clinical outcome and the anatomic characteristics of filtering blebs, using anterior segment optical coherence tomography (AS-OCT).Methods: A prospective case-series study was conducted in five eyes (5 patients) with open angle glaucoma. The fornix-based deep sclerectomy with Esnoper-Clip® implant was done by the same surgeon. In one case, mitomycin C was used during surgery. All participants underwent a complete ophthalmic examination and AS-OCT (Visante®) preoperatively, then at each follow-up visit, at 1 day, 1 week, 1 month, 6 months and 1 year postoperatively. Scans were obtained through sagittal and transversal plans to the implant.Results: Intraocular pressure (IOP) was significantly reduced (p < 0.05) from a mean preoperative value of 23.4 ± 8.6 mm Hg (n = 3.8 glaucoma medications) to a postoperative value of 6.0 ± 2.5 (n = 0), 10.6 ± 5.4 (n = 0), 13 ± 1.6 (n = 0.4), 12.4 ± 2.1 (n = 0.2) and 14.4 ± 1.5 (n = 0.2) at 1 day, 1 week, 1 month, 6 months and 1 year respectively. AS-OCT allowed the visualization of the two plates of the implant (scleral and suprasciliary), the trabeculodescemetic membrane and the hyporeflective spaces in the bleb wall thickness and in suprascleral and suprachoroidal localizations. An immediate postoperative hypotony and an anteriorization of the implant associated to trabeculodescemetic membrane rupture, were detected, although without significant clinical repercussions.Conclusion: Our first five deep sclerectomy with Esnoper-Clip implantation analysis suggest an effective and well-tolerated method to reduce IOP. AS-OCT is a noninvasive imaging technique that allows the anatomic analysis of the drainage mechanisms after glaucoma surgery.How to cite this article: Vieira L, Noronha M, Lemos V, Reina M, Gomes T. Anterior Segment Optical Coherence Tomography Imaging of Filtering Blebs after Deep Sclerectomy with Esnoper-Clip Implant: One-year Follow-up. J Curr Glaucoma Pract 2014;8(3):91-95.

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“…In this study, in both groups, the IOP reduction was attributed to the effect of the cataract surgery itself,17 an increase in conventional outflow due to incision of Schlemm’s canal by LOT,10,16 and increased filtration into the subconjunctival space and uveoscleral outflow due to DS 6,11,18. The difference in procedure between the two groups was the width of the Schlemm’s canal incisions.…”

Section: Discussionmentioning

confidence: 58%

“…The combination of phacoemulsification and intraocular lens implantation (PEA + IOL) with glaucoma surgery is widely performed to treat open angle glaucoma with coexisting cataract 1–11. Although trabeculectomy has provided excellent outcomes as a routine surgical procedure for glaucoma with poor intraocular pressure (IOP) control,1–3,12 it has the disadvantage of having a higher incidence of complications, such as hypotony, choroidal effusion, cataract, and flat or shallow anterior chamber, compared with nonpenetrating surgery 3,12.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of 360° suture trabeculotomy with deep sclerectomy combined with cataract surgery for primary open angle glaucoma and coexisting cataract

Sato¹,

Hirata²,

Mizoguchi³

2014

OPTH

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BackgroundThe purpose of this study was to investigate treatment outcomes in 360° suture trabeculotomy with deep sclerectomy combined with phacoemulsification and aspiration and intraocular lens implantation (360P-LOT + DS)MethodsThirty-two eyes in 32 consecutive patients treated by 360P-LOT + DS for primary open angle glaucoma with coexisting cataracts at Sato Eye Clinic from March 2011 to April 2013 were retrospectively compared with 23 eyes in 23 consecutive patients treated by cataract surgery and 120° trabeculotomy with deep sclerectomy (120P-LOT + DS) at the same clinic from January 2010 to February 2011. The parameters investigated during the 15 months after surgery were the course of intraocular pressure, number of antiglaucoma medications, best-corrected visual acuity, and complications.ResultsBoth groups showed a significant decrease in intraocular pressure starting at one month after surgery when compared with values before surgery. At 3, 6, 9, and 15 months after surgery, the intraocular pressure was significantly lower and the survival rate was significantly higher in the 360P-LOT + DS group compared with the 120P-LOT + DS group. The number of antiglaucoma medications, best-corrected visual acuity value, and complications did not differ significantly between the groups.ConclusionAlthough the complications are similar to those seen in 120P-LOT + DS, treatment of primary open angle glaucoma and coexisting cataracts using 360P-LOT + DS may yield better outcomes.

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Nonpenetrating very deep sclerectomy with hyaluronic acid implant vs trabeculectomy — a 2-year follow-up

Abstract: NPVDS is a modification of NPDS devised for patients with medically uncontrolled open-angle glaucoma.

Cited by 15 publications

References 18 publications

Deep sclerectomy with supraciliary hema implant (Esnoper® V-2000): results and complications

Deep sclerectomy with supraciliary hema implant (Esnoper® V-2000): results and complications

Anterior Segment Optical Coherence Tomography Imaging of Filtering Blebs after Deep Sclerectomy with Esnoper-Clip Implant: One-year Follow-up

Outcomes of 360° suture trabeculotomy with deep sclerectomy combined with cataract surgery for primary open angle glaucoma and coexisting cataract

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Nonpenetrating very deep sclerectomy with hyaluronic acid implant vs trabeculectomy — a 2-year follow-up

Abstract: NPVDS is a modification of NPDS devised for patients with medically uncontrolled open-angle glaucoma.

Cited by 15 publications

References 18 publications

Deep sclerectomy with supraciliary hema implant (Esnoper® V-2000): results and complications

Deep sclerectomy with supraciliary hema implant (Esnoper® V-2000): results and complications

Anterior Segment Optical Coherence Tomography Imaging of Filtering Blebs after Deep Sclerectomy with Esnoper-Clip Implant: One-year Follow-up

Outcomes of 360&deg; suture trabeculotomy with deep sclerectomy combined with cataract surgery for primary open angle glaucoma and coexisting cataract

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Outcomes of 360° suture trabeculotomy with deep sclerectomy combined with cataract surgery for primary open angle glaucoma and coexisting cataract