Journal of the Korean Ophthalmological Society 2003;44(6):1346-1350.
Published online June 1, 2003.
Surgical Outcomes of Conventional Trabeculectomy Converted from Deep Sclerectomy with Collagen Implant (DSCI).
Sang Hoon Kim, Young Jae Hong, Chan Yun Kim
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. kcyeye@yumc.yonsei.ac.kr
심층공막절제와 콜라겐삽입술(DSCI) 시행 중 고식적인 여과수술로 전환한 경우의 수술성적
김상훈 ( Sang Hoon Kim ) , 홍영재 ( Young Jae Hong ) , 김찬윤 ( Chan Yun Kim )
Abstract
PURPOSE
To assess the surgical outcomes of the conventional trabeculectomy converted from DSCI due to a perforation of trabeculo-descemet's membrane during surgery. METHODS: We retrospectively analyzed the surgical outcomes of 9 patients (11 eyes) who underwent the conventional trabeculectomy converted from DSCI during surgery. RESULTS: The mean age of the subjects was 44.6+/-17.8 years. The types of glaucoma of the subjects were primary open angle glaucoma in nine eyes and secondary glaucoma in two eyes. The mean preoperative intraocular pressure(IOP) was 23.4+/-9.5mmHg with 3.0+/-1.2 of mean anti-glaucoma medications. The mean immediate postoperative IOP was 7.7+/-5.3mmHg and 10.5+/-3.9 mmHg with 0.5+/-0.5 of mean anti-glaucoma medications after 12.0+/-6.6 months of mean follow-up period. Defining the qualified success to be 6 to 21 mmHg of IOP with 2 or lower glaucoma medication without complications such as hypotony maculopathy, the success rate was 82%. There were four eyes (36%) having IOP below 4 mmHg and shallow anterior chamber at one day postoperatively. Two eyes of them recovered within 2 weeks, but the other two (18%) developed hypotony maculopathy. Cataract progressed in two eyes (18%). CONCLUSIONS: The surgical outcomes of conventional trabeculectomy converted from DSCI during surgery was comparable to the elective trabeculectomy, but there was a tendency to have more complications associated with hyperfiltration at the immediate postoperative period.
Key Words: Converted trabeculectomy;Deep sclerectmy with collagen implant (DSCI);Hyperfiltration


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