Pfeiffer, Valentin; Gubser, Pascal Aurel; Shang, Xiao; Lincke, Joel-Benjamin; Häner, Nathanael Urs; Zinkernagel, Martin Sebastian; Unterlauft, Jan Darius (2024). Functional and Morphological Outcomes after Trabeculectomy and Deep Sclerectomy-Results from a Monocentric Registry Study. Diagnostics, 14(1) MDPI 10.3390/diagnostics14010101
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The aim of this study was to compare the effectiveness of trabeculectomy (TE) and deep sclerectomy (DS) in lowering intraocular pressure (IOP) and thereby preserving visual field and peripapillary retinal nerve fiber layer (RNFL) tissue in primary open-angle glaucoma (POAG) cases. IOP, number of IOP-lowering medications, visual acuity, mean defect of standard automated perimetry, and mean peripapillary RNFL thickness were retrospectively collected and followed up for 3 years after surgery. TE was performed in 104 eyes and DS in 183 eyes. Age, gender, laterality, IOP, number of medications, visual acuity, perimetry mean defect, and peripapillary RNFL thickness were equally distributed at baseline. Mean IOP decreased from 23.8 ± 1.4 mmHg and 23.1 ± 0.4 mmHg to 13.4 ± 0.6 mmHg (p < 0.001) and 15.4 ± 0.7 mmHg (p = 0.001) in the TE and DS groups, respectively. Mean defect remained stable (TE: -11.5 ± 0.9 dB to -12.0 ± 1.1 (p = 0.090); DS: -10.5 ± 0.9 dB to -11.0 ± 1.0 dB (p = 0.302)), while mean peripapillary RNFL thickness showed further deterioration during follow-up (TE group: 64.4 ± 2.1 μm to 59.7 ± 3.5 μm (p < 0.001); DS group: 64.9 ± 1.9 μm to 58.4 ± 2.1 μm (p < 0.001)). Both TE and DS were comparably effective concerning postoperative reduction in IOP and medication. However, glaucoma disease further progressed during follow-up.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology |
UniBE Contributor: |
Lincke, Joel-Benjamin, Häner, Nathanael, Zinkernagel, Martin Sebastian, Unterlauft, Jan Darius |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2075-4418 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
12 Jan 2024 16:02 |
Last Modified: |
12 Jan 2024 16:11 |
Publisher DOI: |
10.3390/diagnostics14010101 |
PubMed ID: |
38201410 |
Uncontrolled Keywords: |
deep sclerectomy glaucoma glaucoma surgery optical coherence tomography (OCT) perimetry trabeculectomy visual field |
BORIS DOI: |
10.48350/191536 |
URI: |
https://boris.unibe.ch/id/eprint/191536 |
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