Korean J Ophthalmol > Volume 15(2); 2001 > Article
Korean Journal of Ophthalmology 2001;15(2):113-117.
DOI: https://doi.org/10.3341/kjo.2001.15.2.113    Published online December 30, 2001.
Short term surgical outcomes of modified deep sclerectomy with catgut implant.
S S Choi, S S Kim, C Y Kim, Y J Hong
Department of Ophthalmology, Pochun Cha University College of Medicine, Pundang Cha Hospital, Sungnam, Korea.
Abstract
We compared the effectiveness of and complications resulting from modified deep sclerectomy with catgut implant (modified-DSCI) with those of standard deep sclerectomy with collagen implant (DSCI) in the short term following surgery. In this retrospective study, standard-DSCI was performed on thirteen patients (17 eyes), and modified-DSCI was performed on seven patients (11 eyes). After dissection of a 5x5 mm sized superficial scleral flap, a 3x4 mm sized rectangular deep scleral flap was constructed in DSCI and a 2x3 mm sized triangular deep scleral flap in modified DSCI. A collagen implant was placed on the scleral bed in DSCI and # 0 CHROMIC Catgut Absorbable Suture was used in modified DSCI. The mean follow up was 11.0+/-6.1 months in DSCI and 9.3+/-4.7 months in modified DSCI. The mean preoperative intraocular pressure (IOP) was 38.6+/-10.9 mmHg in DSCI and 34.8+/-8.6 mmHg in modified DSCI. In the DSCI group, the IOP was 13.4+/-3.0 mmHg at final follow up, and was 11.4+/-3.2 mmHg in the modified DSCI group. The number of Nd:YAG goniopuncture was 3 cases (25%) in the modified DSCI group, and 3 cases (21.4%) in the DSCI group. The number of intraoperative microperforations was 3 in the DSCI group and 2 in the modified DSCI group. Temporary hypotony was encountered in 8 eyes (57.1%) of the DSCI group and 4 eyes (50%) of the modified DSCI group. There was no significant difference observed between the two groups in regards to the effectiveness or rate of complications seen during short term follow up.
Key Words: deep sclerectomy with collagen implant;glaucoma;modified deep sclerectomy with catgut implant;nonpenetrating filtering surgery;surgical outcomes


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