Kanaloplastik
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Kanaloplastik : Eine neue Alternative in der nicht penetrierenden Glaukomchirurgie. / Matthaei, M; Steinberg, J; Wiermann, A; Richard, G; Klemm, M.
in: OPHTHALMOLOGE, Jahrgang 108, Nr. 7, 01.07.2011, S. 637-43.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Kanaloplastik
T2 - Eine neue Alternative in der nicht penetrierenden Glaukomchirurgie
AU - Matthaei, M
AU - Steinberg, J
AU - Wiermann, A
AU - Richard, G
AU - Klemm, M
PY - 2011/7/1
Y1 - 2011/7/1
N2 - BACKGROUND: Canaloplasty provides a new option in non-penetrating glaucoma surgery. The aim of this study is to examine its early postsurgical safety and efficacy.PATIENTS AND METHODS: This was a retrospective study of canaloplasties performed at our institution in 2009 (n=46, 13 of which were combined with cataract surgery). The mean follow-up was 6.0±3.4 months. The most important parameters examined were intraocular pressure (IOP), number of topical medications, postoperative complications, and required additional surgery.RESULTS: Mean presurgical IOP: 18.2±5.8 mmHg on a mean of 2.3±1.2 applied topical medications. Mean postsurgical IOP: 12.3±5.1 mmHg at 3 months, 11.7±3.0 mmHg at 6 months, and 12.6±2.4 mmHg at 12 months. Number of postsurgical medications: 0.8±1.1 at 3 months, 1.2±1.3 at 6 months, and 1.0±1.1 at 12 months. The most frequent postoperative complications were transient hypotension (32.6%), bleb leakage (26.1%), and microhyphema (23.9%). Revision surgery was required in 8.7% of all patients.CONCLUSIONS: Canaloplasty showed a good IOP-reducing effect. Complications occurred mostly temporarily and were of a controllable nature.
AB - BACKGROUND: Canaloplasty provides a new option in non-penetrating glaucoma surgery. The aim of this study is to examine its early postsurgical safety and efficacy.PATIENTS AND METHODS: This was a retrospective study of canaloplasties performed at our institution in 2009 (n=46, 13 of which were combined with cataract surgery). The mean follow-up was 6.0±3.4 months. The most important parameters examined were intraocular pressure (IOP), number of topical medications, postoperative complications, and required additional surgery.RESULTS: Mean presurgical IOP: 18.2±5.8 mmHg on a mean of 2.3±1.2 applied topical medications. Mean postsurgical IOP: 12.3±5.1 mmHg at 3 months, 11.7±3.0 mmHg at 6 months, and 12.6±2.4 mmHg at 12 months. Number of postsurgical medications: 0.8±1.1 at 3 months, 1.2±1.3 at 6 months, and 1.0±1.1 at 12 months. The most frequent postoperative complications were transient hypotension (32.6%), bleb leakage (26.1%), and microhyphema (23.9%). Revision surgery was required in 8.7% of all patients.CONCLUSIONS: Canaloplasty showed a good IOP-reducing effect. Complications occurred mostly temporarily and were of a controllable nature.
KW - Aged
KW - Aphakia, Postcataract
KW - Catheters
KW - Exfoliation Syndrome
KW - Female
KW - Glaucoma
KW - Glaucoma, Open-Angle
KW - Humans
KW - Intraocular Pressure
KW - Low Tension Glaucoma
KW - Male
KW - Microsurgery
KW - Middle Aged
KW - Postoperative Complications
KW - Reoperation
KW - Retrospective Studies
KW - Surgical Procedures, Minimally Invasive
KW - Treatment Failure
U2 - 10.1007/s00347-010-2305-6
DO - 10.1007/s00347-010-2305-6
M3 - SCORING: Zeitschriftenaufsatz
C2 - 21165623
VL - 108
SP - 637
EP - 643
JO - OPHTHALMOLOGE
JF - OPHTHALMOLOGE
SN - 0941-293X
IS - 7
ER -
