Efficacy and Safety of Deep Sclerectomy with the Esnoper Clip Implant for Uncontrolled Primary Open Angle Glaucoma: A One Year Prospective Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F23%3A43924093" target="_blank" >RIV/00064173:_____/23:43924093 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/23:43924093

Result on the web

<a href="https://doi.org/10.1097/IJG.0000000000002137" target="_blank" >https://doi.org/10.1097/IJG.0000000000002137</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/IJG.0000000000002137" target="_blank" >10.1097/IJG.0000000000002137</a>

Result language

angličtina

Original language name

Efficacy and Safety of Deep Sclerectomy with the Esnoper Clip Implant for Uncontrolled Primary Open Angle Glaucoma: A One Year Prospective Study

Original language description

PRCIS: Deep sclerectomy (DS) with the Esnoper Clip(R) drainage implant in patients with uncontrolled primary open-angle glaucoma (POAG) achieved a complete success rate of 87.2% at the one-year follow-up. PURPOSE: To investigate the efficacy and safety of DS followed by Esnoper Clip(R) implantation in patients with uncontrolled POAG. METHODS: In a prospective, consecutive, interventional study, we investigated 39 eyes of 35 patients with uncontrolled POAG who underwent DS with Esnoper Clip(R) implantation. Complete ophthalmologic examinations including corrected visual acuity (BCVA) and intraocular pressure (IOP), were performed preoperatively, and at 1 day, at 1 week as well as at 1, 3, 6, 9 and 12 months postoperatively. Moreover, any goniopunctures and glaucoma medications required postoperatively were noted. RESULTS: The mean preoperative IOP was 20.8+-5.2 mm Hg and it decreased to 13.9+-3.1 mm Hg at one year postoperatively (P&lt;0.001). The number of glaucoma medications decreased from 2.9+-0.7 preoperatively to 0.3+-0.8 after one year (P&lt;0.001). The complete success (CS) rate (IOP&lt;=21 mm Hg without glaucoma medication) and the qualified success (QS) rate (IOP&lt;=21 mm Hg with or without glaucoma medication) were 87.2% and 94.9%, respectively. Goniopuncture was performed in 33.3% of cases. No significant BCVA changes were registered at the final follow-up. Perioperative complications consisted of 3 micro-perforations of the trabeculo-descemet membrane. Postoperative complications included: hyphema (6 eyes), hypotony (6 eyes), shallow anterior chamber (3 eyes), choroidal detachment (4 eyes)-all of which were resolved without surgical intervention during the first postoperative month--and conjunctival dehiscence, which required re-suture (2 eyes). CONCLUSION: Deep sclerectomy with the Esnoper Clip(R) implant was safe and effectively lowered intraocular pressure in patients with uncontrolled primary open-angle glaucoma.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30207 - Ophthalmology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Glaucoma

ISSN

1057-0829

e-ISSN

1536-481X

Volume of the periodical

32

Issue of the periodical within the volume

3

Country of publishing house

US - UNITED STATES

Number of pages

9

Pages from-to

227-235

UT code for WoS article

000944073100013

EID of the result in the Scopus database

2-s2.0-85149823676