Korean J Ophthalmol.  2001 Dec;15(2):113-117. 10.3341/kjo.2001.15.2.113.

Short term surgical outcomes of modified deep sclerectomy with catgut implant

• Choi SS
• Kim SS
• Kim CY
• Hong YJ

• KMID: 754306
• DOI: http://doi.org/10.3341/kjo.2001.15.2.113

Abstract

We compared the effectiveness of and complications resulting from modified deep sclerectomy with catgut implant (modified-DSCI) with those of standard deep sclerectomy with collagen implant (DSCI) in the short term following surgery. In this retrospective study, standard-DSCI was performed on thirteen patients (17 eyes), and modified-DSCI was performed on seven patients (11 eyes). After dissection of a 5x5 mm sized superficial scleral flap, a 3x4 mm sized rectangular deep scleral flap was constructed in DSCI and a 2x3 mm sized triangular deep scleral flap in modified DSCI. A collagen implant was placed on the scleral bed in DSCI and # 0 CHROMIC Catgut Absorbable Suture was used in modified DSCI. The mean follow up was 11.0+/-6.1 months in DSCI and 9.3+/-4.7 months in modified DSCI. The mean preoperative intraocular pressure (IOP) was 38.6+/-10.9 mmHg in DSCI and 34.8+/-8.6 mmHg in modified DSCI. In the DSCI group, the IOP was 13.4+/-3.0 mmHg at final follow up, and was 11.4+/-3.2 mmHg in the modified DSCI group. The number of Nd:YAG goniopuncture was 3 cases (25%) in the modified DSCI group, and 3 cases (21.4%) in the DSCI group. The number of intraoperative microperforations was 3 in the DSCI group and 2 in the modified DSCI group. Temporary hypotony was encountered in 8 eyes (57.1%) of the DSCI group and 4 eyes (50%) of the modified DSCI group. There was no significant difference observed between the two groups in regards to the effectiveness or rate of complications seen during short term follow up.

Keyword

deep sclerectomy with collagen implant; glaucoma; modified deep sclerectomy with catgut implant; nonpenetrating filtering surgery; surgical outcomes

MeSH Terms

Adult
Aged
*Catgut
Collagen/administration & dosage/therapeutic use
Comparative Study
Human
Middle Age
*Prostheses and Implants
Sclera/*surgery
Time Factors
Treatment Outcome