Gutenberg Open Science: Deep sclerectomy with goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae

Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7767

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DC Field	Value	Language
dc.contributor.author	Mirshahi, Alireza	-
dc.contributor.author	Raak, Peter	-
dc.contributor.author	Ponto, Katharina	-
dc.contributor.author	Stoffelns, Bernhard	-
dc.contributor.author	Lorenz, Katrin	-
dc.contributor.author	Scharioth, Gabor B.	-
dc.date.accessioned	2022-09-15T07:37:12Z	-
dc.date.available	2022-09-15T07:37:12Z	-
dc.date.issued	2015	-
dc.identifier.uri	https://openscience.ub.uni-mainz.de/handle/20.500.12030/7782	-
dc.description.abstract	Purpose. To report one-year results of phacoemulsification combined with deep sclerectomy and goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae (PAS). Methods. We retrospectively analyzed medical charts of 16 patients (20 eyes) treated by one-site combined phacoemulsification and deep sclerectomy with goniosynechiolysis ab interno. PAS were transected by a spatula introduced into the anterior chamber through a paracentesis. To account for the correlation of right and left eyes a linear mixed model with unstructured covariance structure was calculated. Results. The mean preoperative intraocular pressure (IOP) was 20.3 ± 5.2 mmHg with 2.4 ± 1.0 medications. One year postoperatively, the mean IOP was 15.3 ± 3.3 mmHg (P = 0.004, paired t-test) with 0.6 ± 1.0 medications. A postoperative IOP of ≤21 mmHg without medication was achieved in 17 of 19 eyes (89.5%) and in 12/19 eyes (63.2%) at 3 and 12 months after surgery, respectively. In the remaining eyes (10.5% at 3 months and 36.8% at 12 months), additional medication led to an IOP ≤21 mmHg or the target pressure. No case required further glaucoma surgery. In one eye, conversion of the surgery to trabeculectomy was necessary due to Descemet's window rupture. Conclusions. With goniosynechiolysis ab interno, effective and safe nonpenetrating glaucoma surgery is possible in presence of PAS.	en_GB
dc.description.sponsorship	DFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin	de
dc.language.iso	eng	de
dc.rights	CC BY	*
dc.rights.uri	https://creativecommons.org/licenses/by/3.0/	*
dc.subject.ddc	610 Medizin	de_DE
dc.subject.ddc	610 Medical sciences	en_GB
dc.title	Deep sclerectomy with goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae	en_GB
dc.type	Zeitschriftenaufsatz	de
dc.identifier.doi	http://doi.org/10.25358/openscience-7767	-
jgu.type.dinitype	article	en_GB
jgu.type.version	Published version	de
jgu.type.resource	Text	de
jgu.organisation.department	FB 04 Medizin	de
jgu.organisation.number	2700	-
jgu.organisation.name	Johannes Gutenberg-Universität Mainz	-
jgu.rights.accessrights	openAccess	-
jgu.journal.title	Journal of ophthalmology	de
jgu.journal.volume	2015	de
jgu.pages.alternative	Art. 625719	de
jgu.publisher.year	2015	-
jgu.publisher.name	Hindawi	de
jgu.publisher.place	New York, NY	de
jgu.publisher.uri	http://dx.doi.org/10.1155/2015/625719	de
jgu.publisher.issn	2090-004X	de
jgu.publisher.issn	2090-0058	de
jgu.organisation.place	Mainz	-
jgu.identifier.pmid	26199738	-
jgu.subject.ddccode	610	de
opus.date.modified	2018-09-05T09:13:55Z	-
opus.subject.dfgcode	04-205	-
opus.organisation.string	FB 04: Medizin: Augenklinik und Poliklinik	de_DE
opus.identifier.opusid	51978	-
opus.importsource	pubmed	-
opus.institute.number	0446	-
opus.metadataonly	false	-
opus.type.contenttype	Keine	de_DE
opus.type.contenttype	None	en_EN
opus.affiliated	Ponto, Katharina	-
opus.affiliated	Stoffelns, Bernhard	-
opus.affiliated	Lorenz, Katrin	-
jgu.publisher.doi	10.1155/2015/625719	de
jgu.organisation.ror	https://ror.org/023b0x485	-
Appears in collections:	DFG-OA-Publizieren (2012 - 2017)

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