Sclérectomie profonde non perforante dans le traitement du glaucome uvéitique

Souissi, K.; Afrit, M.A. El; Trojet, S.; Kraiem, A.

doi:10.1016/s0181-5512(06)73782-2

Cited by 33 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2,9-11 For TRAB, our surgical success rate of 89% at 12 months is comparable with the rates reported by Ceballos 1 or Towler 2 for uveitic glaucomas. This rate is slightly lower than the 90% obtained at 2 years by Ambresin 15 after TRAB in non-uveitic glaucoma, but our 88% success rate for DS is not different from the 88% reported at 12 months by Souissi,17 and is only slightly lower than that reported by Auer 9 (90% at 1 year, in a cohort of 14 eyes). As expected, this success rate for DS is also lower than the one obtained for non-uveitic glaucomas by Shaarawy 18 (100% at 48 months).…”

Section: Discussioncontrasting

confidence: 69%

Deep sclerectomy and trabeculectomy in uveitic glaucoma

Dupas

Fardeau

Cassoux

et al. 2009

Eye

View full text Add to dashboard Cite

Purpose To compare the results of deep sclerectomy (DS) and trabeculectomy (TRAB) in the management of uveitic glaucoma. Methods A retrospective chart review was carried out of 41 eyes (38 patients) operated on for uncontrolled uveitic glaucoma, 20 by DS with an implant and 21 by TRAB, with antiproliferative agents in both cases. Main outcome criteria were intraocular pressure (IOP), flare values, complications, and need for postoperative adjustments or re-operation. Results Mean follow-up lasted 21.1±11.3 months in the TRAB group and 18.9 ± 10.7 months in the DS group (P ¼ 0.184). Mean IOP did not differ significantly in the two groups on the day before surgery, at postoperative days 1 and 7, or at months 1, 6, and 12. At postoperative month 12, IOP values in the TRAB and DS groups were 12.4±4.3 and 11.7±3.3 mm Hg (P ¼ 0.688), respectively. The cumulative probability of success at 12 months was 89% for TRAB and 88% for DS (P ¼ 0.306). After DS, more postoperative adjustments were necessary to lower IOP than after TRAB (85 vs 9.5%, Po0.001), but 7 days after surgery, intraocular inflammation was higher after TRAB (245.8 vs 38.5 ph/ms, Po0.001). Conclusions DS and TRAB afforded equivalent IOP control in uveitic glaucoma. TRAB involved deeper invasion of the eye and resulted in more inflammation during the week after surgery, but successful DS required closer postoperative monitoring and more postoperative adjustments.

show abstract

Section: Discussioncontrasting

confidence: 69%

Deep sclerectomy and trabeculectomy in uveitic glaucoma

Dupas

Fardeau

Cassoux

et al. 2009

Eye

View full text Add to dashboard Cite

show abstract

“…In this study, the probability of unqualified success was 85.7% and 71.4%, respectively, at 1 year for DS. This value is comparable to those reported by Al Obeidan and colleagues 10 (72.7% for <23 mmHg), Dupas and colleagues 17 (88%), Souissi and colleagues 27 (88%) and Auer and colleagues 28 (90%) in UG. It was lower than the value reported by Shaarawy and Mermoud 29 (100%) but comparable to that of Kozobolis and colleagues 22 (50%–95%), both of which report nonuveitic cases.…”

Section: Discussionsupporting

confidence: 89%

Primary glaucoma surgery in Fuchs’ heterochromic uveitis: a comparison of trabeculectomy versus deep sclerectomy

et al. 2019

View full text Add to dashboard Cite

Background: Deep sclerectomy offers the potential advantage of less postoperative inflammation and better survival in Fuchs’ patients. The aim of this study was to compare survival and safety profiles of Fuchs’ heterochromic uveitis patients undergoing trabeculectomy or deep sclerectomy. Methods: A retrospective study was conducted of two separate cohorts who had undergone either trabeculectomy or deep sclerectomy. Patient demographics, best-corrected visual acuity, intraocular pressure, antimetabolite used, postoperative complications and subsequent procedures were analysed. Results: In total, 13 trabeculectomy patients and 14 deep sclerectomy patients were included. Mean preoperative intraocular pressure was similar at 30.1 mmHg in the trabeculectomy group and 35.9 mmHg in the deep sclerectomy group, with no significant difference between the two ( p = 0.22). Kaplan–Meier survival outcomes for success at <22 mmHg and <19 mmHg showed no significant differences between the groups and this was also the case for intraocular pressure at 3 years (analysis of variance; p = 0.47). Conclusion: Both procedures appear to have similar efficacy and safety profiles, suggesting that both are effective.

show abstract

“…Overall success rates (complete and qualified success) range from 87% to 100%. A favourable aspect of this technique is that complications (in these cases, lens opacities, reversible hypotony, hyphema and bleb encapsulation) occur infrequently [16–18]. We used a slightly modified standard deep sclerectomy to obtain a conventional transscleral deep filtration and combined it with circumscribed goniotomies to increase the filtration.…”

Section: Discussionmentioning

confidence: 99%

“…Patients were aged 56.9 and 48.1 years, respectively. In the deep sclerectomy group, the procedure was successful in 88% of the patients, compared to 65% in the trabeculectomy group with a follow-up of 42 and 52 months [18, 20]. …”

Section: Discussionmentioning

confidence: 99%

Trabeculectomy or modified deep sclerectomy in juvenile uveitic glaucoma

Heinz

Koch

Heiligenhaus

2011

J Ophthal Inflamm Infect

View full text Add to dashboard Cite

PurposeThe purpose of this study is to report the effectiveness of trabeculectomies (TE) and modified deep sclerectomies (mdS) in a group of patients with juvenile uveitic secondary glaucoma.MethodsThis is a retrospective analysis of 16 TE and eight mdS.ResultsPostoperatively, an IOP reduction to 11.6 ± 4.7 mmHg was achieved in the TE group and to 18.5 ± 11.4 mmHg in the mdS group (p = 0.045). In the TE group, 14 patients showed postoperative success, one limited success and another was a failure compared to four successes and four failures in the mdS group (p = 0.041). The mean number of complications was 1.25 ± 1.49 in the TE group and 0.38 ± 0.74 after mdS (p = 0.11). In the mdS group, four patients (50%) needed additional glaucoma surgery compared to one TE patient (p = 0.023).ConclusionBoth surgical techniques showed a marked reduction of IOP. Trabeculectomy has a higher probability of achieving success and lowering IOP.

show abstract

Sclérectomie profonde non perforante dans le traitement du glaucome uvéitique

Cited by 33 publications

References 10 publications

Deep sclerectomy and trabeculectomy in uveitic glaucoma

Deep sclerectomy and trabeculectomy in uveitic glaucoma

Primary glaucoma surgery in Fuchs’ heterochromic uveitis: a comparison of trabeculectomy versus deep sclerectomy

Trabeculectomy or modified deep sclerectomy in juvenile uveitic glaucoma

Contact Info

Product

Resources

About