[صفحه اصلی ]   [Archive] [ English ]  
:: جلد 22، شماره 2 - ( مجله چشم پزشکی ایران 1389 ) ::
جلد 22 شماره 2 صفحات 55-62 برگشت به فهرست نسخه ها
Evaluation of Subconjunctival Oculusgen Implantation as an Adjunct to Trabeculectomy
دكتر نوید نیلفروشان*، دكتر مریم یادگاری، دكتر خلیل قاسمی فلاورجانی، دكتر آرش احتشامی افشار
، naveednil@yahoo.com
چکیده:   (24170 مشاهده)

Purpose : To evaluate the efficacy and safety of subconjunctival oculusgen implantation when used during trabeculectomy

Methods : In this prospective, nonrandomized, interventional case series, 10 eyes of 10 patients with medically uncontrolled open angle glaucoma were enrolled. Conventional fornix based trabeculectomy with implantation of subconjunctival biodegradable collagen implant (oculusgen) was performed in all patients. The preoperative best corrected visual acuity (BCVA), intraocular pressure (IOP) measurement and numbers of antiglaucoma medication were recorded. There were 7 postoperative follow-up visits within 6 months after surgery. After 6 months, follow-up visits were continued every 2-3 months. At each visit, the examination included measurements of BCVA and IOP, slit-lamp biomicroscopy, assessment of cell and flare, bleb evaluation and funduscopy. Any complications were recorded at the end of each examination. Data analysis was performed using SPSS software version 15.

Results : Mean duration of follow-up was 11.9 months (range 6-26 months). Mean preoperative IOP was 19.3 mmHg (range 12-25 mmHg) with 2.9 number of IOP lowering medications (range 2-4) and mean postoperative IOP was 15.3 mmHg (range 10-24) at month 6 (P=0.028) and 14.7 (range 10-20) at last visit (P=0.016). Mean IOP lowering medications and IOP reduction after 180 days were 0.4 (range 0-3) (P=0.000) and 4.2 mmHg respectively. Mean IOP lowering medications and IOP reduction at last visit were 0.7 (range 0-3) (P=0.000) and 4.8 mmHg. Overall success at last follow-up was 80%. None of the patients experienced systemic or ocular complication related to oculusgen.

Conclusion : Trabeculectomy with implantation of oculusgen is a safe and effective surgical method in patients with open angle glaucoma, but longer duration of follow-up in larger number of patients is needed.

  

Iranian Journal of Ophthalmology 201022(2):55-62 © 2010 by the Iranian Society of Ophthalmology
متن کامل [PDF 238 kb]   (3402 دریافت)    
نوع مطالعه: پژوهشی | موضوع مقاله: عمومى
ارسال پیام به نویسنده مسئول

ارسال نظر درباره این مقاله
نام کاربری یا پست الکترونیک شما:

CAPTCHA


XML   English Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nilforushan N, Yadgari M, Ghasemi Falavarjani K, Ehteshami Afshar A. Evaluation of Subconjunctival Oculusgen Implantation as an Adjunct to Trabeculectomy. Iranian Journal of Ophthalmology. 2010; 22 (2) :55-62
URL: http://irjo.org/article-1-340-fa.html

نیلفروشان نوید، یادگاری مریم، قاسمی فلاورجانی خلیل، احتشامی افشار آرش. Evaluation of Subconjunctival Oculusgen Implantation as an Adjunct to Trabeculectomy. مجله چشم پزشکی ایران. 1389; 22 (2) :55-62

URL: http://irjo.org/article-1-340-fa.html



جلد 22، شماره 2 - ( مجله چشم پزشکی ایران 1389 ) برگشت به فهرست نسخه ها
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
Persian site map - English site map - Created in 0.06 seconds with 31 queries by YEKTAWEB 3977