Turkish Abstract Abstract PDF Similar Articles Mail to Author

¹S.B. Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz, Ankara, Asist. Dr.
²S.B. Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz, Ankara, Uzm. Dr. Purpose: To evaluate early results of the operation in terms of intraocular pressure (IOP) control and complications that increases the drainage of aqueous humor by placing a drainage tube between anterior chamber-suprachoroidal area in patients with glaucoma resistant to maximum medical therapy.
Materials and Methods: Twelve eyes of 12 patients with refractory glaucoma which have progressive glaucomatous damage were included. After preparing limbus- based scleral flap; one side of a silicone seton with an interior diameter of 0.34 mm was placed into suprachoroidal area and the other side to the anterior chamber. Postoperative IOP and complications were assesed. IOP’s (without antiglaucomatous treatment) <21mmHg is defined as success.
Results: The average follow up period after implantation was 34.3±9.7 weeks. The mean preoperative IOP was 30.8±8.2 mmHg, postoperative IOP in the 1st, 3rd, 12th month were 13.7±7.2, 14.2±4.5 (12 patients), 12.3±1.7 mmHg (3 patients). Success rate in the 1 st, 3rd, 12th month were 91.7% (11 patients), 91.7% (11 patients),66.6% (2 patients). Early IOP elevation and postoperative hypotonia was not recorded . Postoperatively 2 patients (16.6%) had hyphema , 2 patients (16.6%) had pupillary membranes. In the first month, one patient(8.3%) had an increased IOP (medically decreased).
Conclusion: According to early results, we think that the suprachoroidal tube implantation is an effective and safe procedure in decreasing IOP in refractory glaucoma. Keywords : Suprachoroidal drainage, refractory glaucoma, intraocular pressure, complications