METODES ET PATIENTS Il s'agit d'une étude clinique, prospective, monocentrique, non-randomisée, effectuée sur 105 patients atteints d'un glaucome à angle ouve1i médicalement non-contrôlé. Ces patients ont tous bénéficiés d'une SPIC, effectuée selon le geste chirurgicale standard (technique décrite dans l'article). Dans le cadre de cette étude, nous avons effectué un bilan ophtalmologique complet avant l'acte chirurgical puis un suivi postopératoire à 1et7 jours; l,2,3,6,9,12 mois et ensuite tous les 6 mois durant les dix années suivantes. RESULTATS Patients and Methods:2 Clinical, prospective, monocentric, non-randomized, unmasked study on 105 patients with medically uncontrolled glaucoma. A standard procedure DSCI was performed. Complete examinations were performed before surgery and postoperatively at 1 and 7 days; 1, 2, 3, 6, 9, 12 months and then every 6 months during the 10 following years. Results:The mean follow-up was 101.5 ± 43.1, Conclusions:Based on a 10 year follow-up deep sclerectomy with collagen implant demonstrated its efficacy in controlling IOP with few postoperative complications.

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DLTSC has beneficial long-term effects in the control of IOP and can be considered in the management of keratoprosthesis patients with refractory glaucoma.

Multilayer amniotic membrane transplantation is a safe and efficient technique for a long restoration of the corneal integrity after non-traumatic corneal perforations or deep corneal ulcers with descemetocele. Long-term prognosis of these eyes depends of the gravity of the initial disease.