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Long‐term results of combined cataract and non perforant sclerectomy surgery supplemented with antimitotics: prospective study
Author(s) -
GUTIERREZ G,
BLOVIAR G,
MIGUEL T
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.535.x
Subject(s) - medicine , phacoemulsification , prospective cohort study , surgery , intraocular pressure , visual acuity , glaucoma , implant , ophthalmology
Purpose Prospectively to evaluate the long‐term results of phacoemulsification plus non perforant sclerectomy (PNPS) supplemented with antimetabolites and without implant. Methods Prospective, non‐randomized study that comprised all consecutive patients who underwent PNPS in our unit from January 2004 up to now. We analysed those patients with a minimum of follow‐up of one year. Results 42 eyes of 42 patients suffering form open angle glaucoma were included. Mean follow up was 17.4 (SD: 5.6) months (range 12 to 24 months). 85.5% has best corrected visual acuity (BCVA) ≥ 0.5; 73.8% ≥ 0,7 and 28.5% , 1. After the first year or the follow‐up the intraocular pressure (IOP) decreased by 49.3% and after the second year by 45.4% with or without medication. The decrease of the number of medications was statistically significant in all follow‐up periods. The number of complications was low and they were no severe. Total success was higher when MMC was used than when 5‐Fluorouracil was applied. Conclusion PNPS supplemented with antimetabolites reduces significatively the IOP in the long‐term, allows a rapid BCVA recovery, and has a low number rate of complications and they were no severe.