External trabeculectomy with T-Flux implant.

Hdl Handle:
http://hdl.handle.net/10147/208841
Title:
External trabeculectomy with T-Flux implant.
Authors:
Jungkim, S; Gibran, S K; Khan, K; Murray, A
Affiliation:
Department of Ophthalmology, Cork University Hospital, Cork--Ireland., sjungkim@hotmail.com
Citation:
Eur J Ophthalmol. 2006 May-Jun;16(3):416-21.
Journal:
European journal of ophthalmology
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208841
PubMed ID:
16761243
Abstract:
PURPOSE: To evaluate the efficacy and safety of T-Flux implant in nonpenetrating glaucoma surgery. METHODS: This clinical interventional case series study included 35 eyes of 35 patients with medically uncontrolled primary open angle glaucoma. External trabeculectomy with T-Flux (ETTF) is a technique of nonpenetrating glaucoma surgery, in which after removing deep scleral tissue and un-roofing the canal of Schlemn (CS) the external trabecular tissue is peeled off to enhance the aqueous drainage without opening the anterior chamber. A non-absorbable T-Flux implant (IOL TECH Laboratories, France) was sutured in deep intrascleral space to keep it patent. Snellen's best-corrected visual acuity, slit lamp biomicroscopy, intraocular pressure (IOP), gonioscopy, funduscopy, and optic disc assessment were performed preoperatively and postoperatively at 1 day, 1 week, and 1, 3 , 6, and 12 months. Visual field testing was performed preoperatively and at 6 and 12 months postoperatively. RESULTS: For three eyes, surgery was converted to standard trabeculectomy owing to the perforation of trabeculo-Descemet's membrane and iris prolapse and excluded from the study. The results of the remaining 32 eyes were included in the study. Preoperative IOP (mean +/- SD) of 32.88 +/- 5.7 mmHg decreased to 15.44 +/- 1.6 mmHg after 12 months. Ten eyes (28.6%) had microhyphema that resolved spontaneously; 3 eyes (8.6%) had microperforation without iris prolapse so ETTF was proceeded routinely. The preoperative number of antiglaucoma medications per patient reduced from (mean +/- SD) 2.74 +/- 0.61 to 0.11 +/- 0.32 postoperatively at 12 months. Visual acuity and visual fields remained stable. CONCLUSIONS: ETTF appears to provide significant control of IOP and have low incidence of complications.
Language:
eng
MeSH:
Adult; Aged; Aqueous Humor/secretion; Female; *Glaucoma Drainage Implants; Glaucoma, Open-Angle/*surgery; Gonioscopy; Humans; Intraocular Pressure/physiology; Intraoperative Complications; Male; Middle Aged; Postoperative Complications; *Prosthesis Implantation; Suture Techniques; Trabeculectomy/*methods; Visual Acuity; Visual Fields
ISSN:
1120-6721 (Print); 1120-6721 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorJungkim, Sen_GB
dc.contributor.authorGibran, S Ken_GB
dc.contributor.authorKhan, Ken_GB
dc.contributor.authorMurray, Aen_GB
dc.date.accessioned2012-02-03T15:05:07Z-
dc.date.available2012-02-03T15:05:07Z-
dc.date.issued2012-02-03T15:05:07Z-
dc.identifier.citationEur J Ophthalmol. 2006 May-Jun;16(3):416-21.en_GB
dc.identifier.issn1120-6721 (Print)en_GB
dc.identifier.issn1120-6721 (Linking)en_GB
dc.identifier.pmid16761243en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208841-
dc.description.abstractPURPOSE: To evaluate the efficacy and safety of T-Flux implant in nonpenetrating glaucoma surgery. METHODS: This clinical interventional case series study included 35 eyes of 35 patients with medically uncontrolled primary open angle glaucoma. External trabeculectomy with T-Flux (ETTF) is a technique of nonpenetrating glaucoma surgery, in which after removing deep scleral tissue and un-roofing the canal of Schlemn (CS) the external trabecular tissue is peeled off to enhance the aqueous drainage without opening the anterior chamber. A non-absorbable T-Flux implant (IOL TECH Laboratories, France) was sutured in deep intrascleral space to keep it patent. Snellen's best-corrected visual acuity, slit lamp biomicroscopy, intraocular pressure (IOP), gonioscopy, funduscopy, and optic disc assessment were performed preoperatively and postoperatively at 1 day, 1 week, and 1, 3 , 6, and 12 months. Visual field testing was performed preoperatively and at 6 and 12 months postoperatively. RESULTS: For three eyes, surgery was converted to standard trabeculectomy owing to the perforation of trabeculo-Descemet's membrane and iris prolapse and excluded from the study. The results of the remaining 32 eyes were included in the study. Preoperative IOP (mean +/- SD) of 32.88 +/- 5.7 mmHg decreased to 15.44 +/- 1.6 mmHg after 12 months. Ten eyes (28.6%) had microhyphema that resolved spontaneously; 3 eyes (8.6%) had microperforation without iris prolapse so ETTF was proceeded routinely. The preoperative number of antiglaucoma medications per patient reduced from (mean +/- SD) 2.74 +/- 0.61 to 0.11 +/- 0.32 postoperatively at 12 months. Visual acuity and visual fields remained stable. CONCLUSIONS: ETTF appears to provide significant control of IOP and have low incidence of complications.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAqueous Humor/secretionen_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Glaucoma Drainage Implantsen_GB
dc.subject.meshGlaucoma, Open-Angle/*surgeryen_GB
dc.subject.meshGonioscopyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntraocular Pressure/physiologyen_GB
dc.subject.meshIntraoperative Complicationsen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPostoperative Complicationsen_GB
dc.subject.mesh*Prosthesis Implantationen_GB
dc.subject.meshSuture Techniquesen_GB
dc.subject.meshTrabeculectomy/*methodsen_GB
dc.subject.meshVisual Acuityen_GB
dc.subject.meshVisual Fieldsen_GB
dc.titleExternal trabeculectomy with T-Flux implant.en_GB
dc.contributor.departmentDepartment of Ophthalmology, Cork University Hospital, Cork--Ireland., sjungkim@hotmail.comen_GB
dc.identifier.journalEuropean journal of ophthalmologyen_GB
dc.description.provinceMunster-

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