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Master thesis

Sclérectomie profonde non perforante combinée à la phacoémulsification: résultats à 18 mois

Abstract : Introduction : The aim of this retrospective study is to evaluate the 18-months results of combined non penetrating deep sclerectomy and Phacoemulsification performed by the same operator without collagen implant. Patients and methods: This retrospective study included 61 eyes affected byprimary open angle glaucoma and operated for combined non penetrating deep sclerectomy and phacoemulsification. The postoperative follow-up (18 months ) included visual acuity measurement, the measure of intraocular pressure (IOP), evaluation of the filtration site and of the optic nerve head. Complete success wasdefined as IOP, normal for the age without medical treatment and relative success as IOP normal for the age with medical treatment.Result: Our population (52 patients) included 40 % of men and 60 % of women and the mean age was of 73 years +- 9 ans. The follow-up was 18 months. The mean preoperative IOP was 16,3 +- 4,5 mmHg, and the mean IOP at 18 months 13,3 +- 2,4 mmHg. Relative success rate was 89,1 % and complete success rate 69,1 %. The mean visual acuity was 0,6 log Mar +- 0,3 in preoperative and 0,2 log Mar +- 0,2 at 18 months.Conclusion: Our results demonstrate that combined non penetrating deep sclerectomy and phacoemulsificatoion is an effective technique, allowing to control IOP. This surgery can be proposed first intention to patients with both progressive primary open angle glaucoma and cataract.
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https://hal.univ-lorraine.fr/hal-01734329
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  • HAL Id : hal-01734329, version 1

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Fanny Pujo. Sclérectomie profonde non perforante combinée à la phacoémulsification: résultats à 18 mois. Sciences du Vivant [q-bio]. 2010. ⟨hal-01734329⟩

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