RESEARCH ARTICLE


Supraciliary Hema Implant in Combined Deep Sclerectomy and Phacoemulsification: One Year Results



Rosa Bonilla*, Jordi Loscos, Xavier Valldeperas, Maria Àngels Parera, Antoni Sabala
Department of Ophthalmology, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain


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© Bonilla et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Hospital Universitari Germans Trias i Pujol, Servicio de Oftalmología, Carretera de Canyet s/n, 08916 Badalona, Spain; Tel: 0034669201633; E-mail: mrosabonilla@gmail.com


Abstract

We present the combined surgery of non-penetrating deep sclerectomy with insertion of the implant in the supraciliary space as an effective and safe surgery for patients with both cataract and primary open angle glaucoma. This study included 20 eyes of 16 patients who were followed up during 12 months. We found a significant intraocular pressure reduction, changing from a preoperative mean of 23 ± 5 mmHg to a postoperative mean of 18 ± 3 mmHg (p<0.002). Similarly, a significant reduction in the number of glaucoma drugs needed was observed, varying from 2.5 ± 0.9 drops per patient to 0.7 ± 0.9 (p<0.0002) at the end of the study. We also report a significant improvement in best-corrected visual acuity, from 5/10 ± 2/10 to 8/10 ± 2/10 (p<0.006), one year after the combined surgery. The only intraoperative complication observed was the microperforation of the trabeculo-descemetic membrane (TDM) and postoperative complications were iris incarceration, seidel test positivity and microhyphema. All these complications resolved successfully.

Keywords: Open angle glaucoma, non-penetrating glaucoma surgery, combined surgery, deep sclerectomy, suprachoroidal implant.