Anterior segment optical coherence tomography study of the surgical outcome of the filtrating surgery in glaucoma

Autor: Martial Mercie, I Badat, Jj Gicquel, M. Boissonnot, A Yani, Pl Dighiero, M Djabarouti
Rok vydání: 2011
Předmět:
Zdroj: Acta Ophthalmologica. 89
ISSN: 1755-3768
1755-375X
DOI: 10.1111/j.1755-3768.2011.4351.x
Popis: Purpose To study the outcome of various filtrating surgery techniques in patients with glaucoma witthe Visante Anterior Segment Optical Coherence Tomograph (AS-OCT) Methods Fourty seven patients (47 eyes) (age 55 to 87) were enrolled after they had undergone filtrating surgery for glaucoma (Sclerectomy, Trabeculectomy, and combined surgery associating phacoemulsification and Sclerectomy or Trabeculectomy). Antimetabolites were used in all patients (mitomycin C or 5-Fluoro Uracile). Intraocular pressure was recorded 6 months, 3 months and 1 month before surgery as well as 3 months, 6 months, 1 year and 2 years postoperatively. Each time the patients underwent full ophtalmological examination with subjective slit lamp evaluation of the bleb. Morphological evaluation of the bleb was performed with the Visante AS-OCT in all patients after a minimum period of one year after surgery. The trabeculectomy / sclerectomy site as well as the morphology of the scleral flap, the conjunctival flap, the iris, and the relationship between these structures were analyzed Results In most cases, a good correlation was observed between the AS-OCT evaluation of the bleb and the measured IOP. AS-OCT was helpful in determining the functional properties of filtration blebs in cases in which the target IOP was no reached. Conclusion AS- OCT is a valuable tool for an accurate functional evaluation of the outcome of filtrating surgery in patients with glaucoma.
Databáze: OpenAIRE
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