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

 Seungsoo Rho  ;  Sung Yong Kang  ;  Samin Hong  ;  Gong Je Seong  ;  Jong Jin Jung  ;  Chan Yun Kim 
 Korean Journal of Ophthalmology, Vol.27(1) : 34-38, 2013 
Journal Title
 Korean Journal of Ophthalmology 
Issue Date
Adult ; Anterior Chamber/surgery* ; Collagen/administration & dosage* ; Drug Implants/administration & dosage* ; Female ; Follow-Up Studies ; Glaucoma, Open-Angle/physiopathology ; Glaucoma, Open-Angle/surgery* ; Humans ; Incidence ; Intraocular Pressure ; Male ; Postoperative Complications/epidemiology ; Postoperative Period ; Republic of Korea/epidemiology ; Retrospective Studies ; Sclera/surgery* ; Sclerostomy/methods* ; Time Factors ; Treatment Outcome ; Visual Acuity
Deep sclerectomy ; Koreans ; Open-angle glaucoma ; Small collagen implant
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.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sung Yong(강성용)
Kim, Chan Yun(김찬윤) ORCID logo https://orcid.org/0000-0002-8373-9999
Rho, Seung Soo(노승수)
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Hong, Sa Min(홍사민)
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