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Comparing the efficacy of non-penetrating deep sclerectomy combined with endotrabeculectomy with that of trabeculectomy

Title: Comparing the efficacy of non-penetrating deep sclerectomy combined with endotrabeculectomy with that of trabeculectomy
Authors: I. Ia. Novytskyy; O. V. Levytska
Source: Journal of Ophthalmology, Iss 2, Pp 27-31 (2022)
Publisher Information: Ukrainian Society of Ophthalmologists
Publication Year: 2022
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: endotrabeculectomy; non-penetrating deep sclerectomy; intraocular pressure; topical ocular hypotensive medications; trabeculectomy; Internal medicine; RC31-1245
Description: Purpose: To compare the clinical efficacy of non-penetrating deep sclerectomy (NPDS) combined with ab interno endotrabeculectomy (ETE) with that of penetrating trabeculectomy for primary open-angle glaucoma (POAG). Material and Methods: Twenty-five patients (25 eyes) that received surgery for POAG were included in the study and divided into two groups based on the type of surgery received: trabeculectomy (13 patients) and NPDS combined with ETE (12 patients). Results: There was a significant difference (a) between preoperative and any postoperative intraocular pressure (IOP) levels, and (b) between preoperative and postoperative mean numbers of ocular hypotensive medications used for either group at any time point of the 12-month follow-up (р < 0.05). In addition, there was no significant difference in IOP between groups (р > 0.05) at any time point. Moreover, there was no significant difference in the number of ocular hypotensive medications used between the groups at any time point. Conclusion: Not only EDE combined with NPDS has at least the same ocular hypotensive effect as that of trabeculectomy for POAG, but it is also advantageous in a low incidence of severe postoperative complications, which may make it a procedure of choice for POAG.
Document Type: article in journal/newspaper
Language: English; Ukrainian
Relation: https://www.ozhurnal.com/en/archive/2022/2/5-fulltext; https://doaj.org/toc/2412-8740; http://doi.org/10.31288/oftalmolzh202222731; https://doaj.org/article/bb6c331f068e4937838a26d05b9ef18b
DOI: 10.31288/oftalmolzh202222731
Availability: https://doi.org/10.31288/oftalmolzh202222731; https://doaj.org/article/bb6c331f068e4937838a26d05b9ef18b
Accession Number: edsbas.CE58B7F
Database: BASE