Modified canaloplasty with suprachoroidal drainage versus conventional canaloplasty—1-year results
Autor: | Stephan Leers, Kai Januschowski, Peter Szurman, Karl Thomas Boden, Anna-Maria Seuthe, Ciprian Ivanescu |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Intraocular pressure Time Factors genetic structures medicine.medical_treatment Glaucoma 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Ophthalmology medicine Clinical endpoint Glaucoma surgery Humans Trabeculectomy 030212 general & internal medicine Drainage Intraocular Pressure Aged Schlemm's canal Choroid business.industry Plastic Surgery Procedures medicine.disease eye diseases Sensory Systems Surgery Treatment Outcome medicine.anatomical_structure Filtering Surgery 030221 ophthalmology & optometry Female business Glaucoma Open-Angle Follow-Up Studies |
Zdroj: | Graefe's Archive for Clinical and Experimental Ophthalmology. 254:1591-1597 |
ISSN: | 1435-702X 0721-832X |
Popis: | The aim of this study was to investigate the efficacy and safety of a new and modified canaloplasty technique with suprachoroidal drainage in a large patient cohort, and to compare its IOP-lowering and topical drug-sparing effect to that of conventional canaloplasty. This retrospective clinical trial included patients with open-angle glaucoma or secondary forms of glaucoma who underwent either conventional canaloplasty or canaloplasty with suprachoroidal drainage. Primary endpoint was the IOP reduction after 12 months as well as the number of IOP-lowering medications. Secondary endpoints were intra- and postoperative complications and the occurrence of secondary surgical interventions. Four hundred and seventeen eyes were included in the study; 180 of them were treated with conventional canaloplasty, and 237 eyes underwent canaloplasty with suprachoroidal drainage. In both groups, a significant IOP reduction could be observed after 12 months. Mean IOP reduction was stronger after canaloplasty with suprachoroidal drainage (35.9 %) (from baseline 20.9 ± 3.5 mmHg to 13.1 ± 2.5 mmHg) than after conventional canaloplasty (31.2 %) (from baseline 20.8 ± 3.6 mmHg to 14.0 ± 2.6 mmHg) (p |
Databáze: | OpenAIRE |
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