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Long-term Results of Deep Sclerectomy with Small Collagen Implant in Korean

Title
 Long-term Results of Deep Sclerectomy with Small Collagen Implant in Korean 
Authors
 Seungsoo Rho ; Sung Yong Kang ; Chan Yun Kim ; Jong Jin Jung ; Gong Je Seong ; Samin Hong 
Issue Date
2013
Journal Title
 Korean Journal of Ophthalmology 
ISSN
 1011-8942 
Citation
 Korean Journal of Ophthalmology, Vol.27(1) : 34~38, 2013 
Abstract
PURPOSE: To describe the long-term results of deep sclerectomy with collagen implant (DSCI) with or without adjuvant mitomycin C in Korean patients with primary or secondary open-angle glaucoma (OAG). METHODS: This retrospective review was comprised of 65 Korean patients who received DSCI with or without adjuvant mitomycin C due to primary or secondary OAG. Patients were followed for 72 months after surgery. Complete success was defined as intraocular pressure (IOP) <21 mmHg without medication and qualified success was defined as IOP <21 mmHg with or without medication. RESULTS: Mean postoperative follow-up period was 53.0 ± 16.2 months. Mean IOP was 30.5 ± 11.7 mmHg preoperatively, 8.4 ± 4.3 mmHg at postoperative day one and 13.4 ± 3.8 mmHg 60 months after surgery. The mean number of glaucoma medications was decreased from 3.6 ± 1.1 to 1.6 ± 1.3 at 60 months after the operation. Complete and qualified success rates were 36.7% and 79.6% at postoperative 60 months, respectively (Kaplan-Meier survival curve). No shallow or flat anterior chamber, endophthalmitis, or surgery-induced significant cataract was observed. CONCLUSIONS: The results of DSCI in Korean patients presented here seem reasonably excellent with qualified success rates of over 70% at six years with negligible complications.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/86360
DOI
10.3341/kjo.2013.27.1.34
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Ophthalmology
Yonsei Authors
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