AIMS To evaluate the efficacy and tolerability of nonpenetrating filtering surgery in the treatment of patients with open-angle glaucoma. METHODS Pertinent studies were selected by extensive searches. A total of 17 randomized controlled trials were included in the present meta-analysis. The main outcome measures were risk differences (RDs) of complete success for efficacy and postoperative co...

BACKGROUND/AIM To investigate the effect of deep sclerectomy on retrobulbar blood flow. MATERIALS AND METHODS This prospective study included 20 eyes of 20 patients with open angle glaucoma. Color Doppler imaging (CDI) examinations were performed before and 2, 12, and 24 weeks after deep sclerectomy. Peak systolic velocity (PSV), end diastolic velocity (EDV), and resistance index (RI) were me...

OBJECTIVE To describe the ultrasound biomicroscopic (UBM) characteristics seen in patients who have undergone deep phaco-sclerectomy with a new acrylic implant (Esnoper). SUBJECTS, MATERIAL AND METHODS UBM exploration was performed 12 months after deep phaco-sclerectomy in three patients with chronic open angle glaucoma. RESULTS One year after surgery, all three patients had intraocular pre...

In 1989, Koslov et al. described ‘deep sclerectomy’ (DS): an ‘en-bloc’ resection of the external wall of Schlemm’s canal, along with corneal stroma adjacent to the anterior trabeculum and, more anteriorly, exposure of Descemet’s membrane over 4–5 mm. These structures were removed with a slice of sclera beneath a superficial scleral flap: hence the term deep sclerectomy. In 1998, Vaudaux et al. ...

www.expert-reviews.com ISSN 1746-9899 © 2009 Expert Reviews Ltd 10.1586/EOP.09.21 The goal of glaucoma filtration surgery is to reduce elevated intraocular pressure (IOP) in order to preserve residual viable elements of the optic nerve head. Trabeculectomy has been the ‘gold-standard’ filtration procedure for the last 40 years. In trabeculectomy, a full-thickness sclerostomy is created under a ...

PURPOSE To present the technique of a modified deep sclerectomy, which we will call "reversed" deep sclerectomy (RDS) and the results and our observations of its use in patients with open angle glaucoma (OAG) and with or without cataract extraction (phacoemulsification). MATERIALS AND METHODS This prospective study included 132 eyes which underwent RDS: 37 eyes (group A) with uncontrolled OAG...