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Volkova N.V.

State educational institution of higher professional education Ural State Medical Academy, Ekaterinburg

Shchuko A.G.

GOU VPO "Irkutskiĭ gosudarstvennyĭ meditsinskiĭ universitet"

Iur'eva T.N.

Irkutskiĭ filial FGBU "MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova

Yakimov A.P.

Irkutsk branch of S. Fyodorov Eye Microsurgery Federal State Institution, 337 Lermontova St., Irkutsk, Russian Federation, 664033;
Irkutsk State Medical Academy of Postgraduate Education, 100 Yubileiny microrayon, Irkutsk, Russian Federation, 664079

Akulenko M.V.

Irkutsk branch of S. Fyodorov Eye Microsurgery Federal State Institution, 337 Lermontova St., Irkutsk, Russian Federation, 664033

Nd:YAG laser goniopuncture as a mandatory adjuvant procedure after non-penetrating deep sclerectomy (long-term observation results)

Authors:

Volkova N.V., Shchuko A.G., Iur'eva T.N., Yakimov A.P., Akulenko M.V.

More about the authors

Journal: Russian Annals of Ophthalmology. 2019;135(2): 93‑101

DOI: 10.17116/oftalma201913502193

Views: 2299

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To cite this article:

Volkova NV, Shchuko AG, Iur'eva TN, Yakimov AP, Akulenko MV. Nd:YAG laser goniopuncture as a mandatory adjuvant procedure after non-penetrating deep sclerectomy (long-term observation results). Russian Annals of Ophthalmology. 2019;135(2):93‑101. (In Russ.)
https://doi.org/10.17116/oftalma201913502193

Подписка 2025 (Russian Annals of Ophthalmology)
 
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Today, Nd:YAG laser goniopuncture (LGP) is considered a mandatory non-penetrating deep sclerectomy adjuvant procedure. However, its indications and timing remain debatable. Purpose — to evaluate the effect of Nd:YAG laser goniopuncture on the long-term hypotensive effectiveness of non-penetrating deep sclerectomy. Material and methods. The study included 114 patients after non-penetrating deep sclerectomy (NPDS). In the control group (n=58), Nd:YAG laser goniopuncture was performed within 3.4±1.9 (1.5—6.7) months, and in the main group (n=56) — within 1.12±0.08 (0.9—1.5) months after the surgery. Ultrasound biomicroscopy (UBM) was used to evaluate the semiotics of trabecular-Descemet’s membrane (TDM), intrascleral canal (ISC) and filtering bleb. The follow-up period was 5 years. Results. According to UBM data, the thickness (0.10±0.009 mm) and density (50±6%) of TDM (p=0.0001) increased before LGP in the control group, the height of ISC decreased to 0.49±0.19 (0.20—0.40) (p=0.03), the height of UBM scan — to 1.49±0.05 (1.41—2.9) (p=0.0001); IOP (P0) was 18.48±4.7 (11.2—22.9) mmHg (p=0.001). In the main group before LGP, TDM thickness was 0.08±0.006 mm, density was 40±5%, and IOP (P0) was 15.7±4.1 (9.1—18.5) mm Hg. Complete hypotensive success was achieved in 83.6% of cases in the control group and 96.2% in the main group in 6 months; 68.07% and 92.59% in 12 months; 41.3% and 75.8% in 24 months; 15.25% and 48.93% in 36; 15% and 34.8% in 60 months after the surgery, respectively (p=0.0001, 95% confidence interval). Conclusion. TDM is an additional level of retention of aqueous humor and plays key role in the formation of outflow pathways after NPDS. Performing LGP in the early postoperative period is an effective and safe adjuvant option, which excludes the influence of TDM on the formation of aqueous humor outflow pathways and significantly increases the long-term hypotensive efficacy of non-penetrating deep sclerectomy.

Keywords:

primary open angle glaucoma
glaucoma surgery
non-penetrating deep sclerectomy
trabecular Descemet membrane
Nd

Authors:

Volkova N.V.

State educational institution of higher professional education Ural State Medical Academy, Ekaterinburg

Shchuko A.G.

GOU VPO "Irkutskiĭ gosudarstvennyĭ meditsinskiĭ universitet"

Iur'eva T.N.

Irkutskiĭ filial FGBU "MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova

Yakimov A.P.

Irkutsk branch of S. Fyodorov Eye Microsurgery Federal State Institution, 337 Lermontova St., Irkutsk, Russian Federation, 664033;
Irkutsk State Medical Academy of Postgraduate Education, 100 Yubileiny microrayon, Irkutsk, Russian Federation, 664079

Akulenko M.V.

Irkutsk branch of S. Fyodorov Eye Microsurgery Federal State Institution, 337 Lermontova St., Irkutsk, Russian Federation, 664033

List of references:

  1. Zsolt Varga, Tarek Shaarawy. Deep Sclerectomy: Safety and Efficacy. Middle East Afr J Ophthalmol. 2009;16(3):123-126. https://doi.org/10.4103/0974-9233.56223
  2. Mendrinos E, Mermoud A, Shaarawy T. Nonpenetrating glaucoma surgery. Surv Ophthalmol. 2008;53:592-630. https://doi.org/10.1016/j.survophthal.2008.08.023
  3. Mermoud A, Vaudaux J. Aqueous humor dynamics in non-penetrating filtering surgery (deep sclerectomy). ARVO abstract 4967. Invest Ophthalmol Vis Sci. 1999;40(4):1064.
  4. Shchuko AG, Volkova NV, Malysheva YuV, Iureva TN. Inadequate reparative regeneration in fistulazing glaucoma surgery. Oftal’mokhirurgiya. 2014;3:60-66. (In Russ.)
  5. Choudhary A, Wishart PK. Non-penetrating glaucoma surgery augmented with mitomycin C or 5-fluorouracil in eyes at high risk of failure of filtration surgery: long-term results. Clinical & Experimental Ophthalmology. 2007;35:340-347. https://doi.org/10.1111/j.1442-9071.2007.01483.x
  6. Bissing A, Rivier D, Zaninetti M, Shaarawy T, Mermoud A, Roy S. Ten years follow-up after deep sclerectomy with collagen implant. J Glaucoma. 2008;17:680-686. https://doi.org/10.1097/IJG.0b013e318182ed9e
  7. Anand Nitin. Deep sclerectomy with bevacizumab and Mitomycin C: a comparative study. J Glaucoma. 2015;24(1):25-31. https://doi.org/10.1097/IJG.0b013e3182883c0c
  8. Kozobolis VP, Christodoulakis EV, Tzanakis N, Zacharopoulos I, Pallikaris IG. Primary deer sclerectomy versus primary deep sclerectomy with the use of mitomycin C in primary open-angle glaucoma. J Glaucoma. 2002;11:287-293.
  9. Chiselita D. Non-penetrating deep sclerectomy versus trabeculectomy in primary open-angle glaucoma surgery. Eye. 2001;15:197-201. https://doi.org/10.1038/eye.2001.60
  10. Hondur A, Onol M, Hasanreisoglu B. Nonpenetrating glaucoma surgery: meta-analysis of recent results. J Glaucoma. 2008;17(2):139-146. https://doi.org/10.1097/IJG.0b013e31814b98f7
  11. Anand N, Pilling R. Nd:YAG laser goniopuncture after deep sclerectomy: outcome. Acta ophthalmol. 2010;88:110-115. https://doi.org/10.1111/j.1755-3768.2008.01494.x
  12. Al Obeidan SA. Incidence, efficacy and safety of YAG laser goniopuncture following nonpenetrating deep sclerectomy at a university hospital in Riyadh, Saudi Arabia. Saudi J Ophthalmol. 2014;29(2):95-102. https://doi.org/10.1016/j.sjopt.2014.09.015
  13. Mermoud A, Karlen ME, Schnyder CC. Nd:Yag goniopuncture after deep sclerectomy with collagen implant. Ophthalmic Surg Lasers. 1999;30:120-125.
  14. Fyodorov SN, Ioffe DI, Ronkina TI. Deep sclerectomy (technique and mechanism of a new antiglaucomatous procedure). Glaucoma. 1984;6:281-283.
  15. Iureva TN, Volkova NV, Shchuko AG, Malishev VV. Algorithm of rehabilitation measures at the stages of formation of outflow pathways after non-penetrating deep sclerectomy. Oftal’mokhirurgiya. 2007;3:67-71. (In Russ.)
  16. Singh M, Chew P. Bleb Morphology Assessment and Imaging. Journal of Current Glaucoma Practice. 2008;2(1):50-55. https://doi.org/10.5005/jp-journals-10008-1024
  17. Volkova NV, Iurieva TN, Malisheva YuV. Filtering bleb «dysfunction». RMJ Klinicheskaya Oftal’mologiya. 2014;3:151-155. (In Russ.)
  18. Shaarawy T, Grehn F, Sherwood M. WGA Cuidelines on design and reporting of Glaucoma surgical trials. Kugler Publications. 2009;93.
  19. Goldsmith JA, Ahmed IK, Crandall AS. Nonpenetrating glaucoma surgery. Ophthalmol Clin North Am. 2005;18:443-460. https://doi.org/10.1016/j.ohc.2005.05.008
  20. Tam DY, Barnebey HS, Ahmed II, Karim. Nd:YAG Laser Goniopuncture: Indications and Procedure. J Glaucoma. 2013;22(8):620-625. https://doi.org/10.1097/IJG.0b013e31824d512a
  21. Kuroda S, Mizoguchi T, Terauchi H, et al. Advanced nonpenetrating trabeculectomy and combined surgery of advanced NPT and phacoemulsification and intraocular lens implantation. Semin Ophthalmol. 2001;16:172-176. https://doi.org/10.1076/soph.16.3.172.4201
  22. Vuori ML. Complication of neodymium:YAG laser goniopuncture after deep sclerectomy. Acta Ophthalmol Scand. 2003;81:573-576.
  23. Hara T. Deep sclerectomy with Nd:YAG laser trabeculotomy ab interno (two-stage procedure). Ophthalmic Surg. 1988;19:101-106.
  24. Mermoud A, Faggioni R, Schnyder CC, et al. Nd:YAG goniopuncture after deep sclerectomy with collagen implant. ARVO abstract 1167. Invest Ophthalmol Vis Sci. 1996;37:256.
  25. Lachkar Y, Neverauskiene J, Jeanteur Lunel MN, et al. Non-penetrating deep sclerectomy: a 6-years retrospective study. Eur J Ophthalmol. 2004;14:26-36.
  26. Detry-Morel M, Detry MB. Five-year experience with non-penetrating deep sclerectomy. Bull Soc Belge Ophthalmol. 2006;229:83-94.
  27. Dermot McG. Premed highlights benefit of combination treatment for CME. Eurotimes. ESCRS. 18.10.2017. URL: https://www.eurotimes.org/premed-study-highlights-benefit-combination-treatment-prevent-cme/
  28. Volkova N. Risk factors of hyperscarring and etiopathogenetical approaches in the rehabilitation of patients after glaucoma filtering surgery. ESCRS on demand. London. 2014. URL: https://escrs.conference2web.com/#resources/risk-factors-of-hyperscarring-and-etiopathogenetical-approaches-in-the-rehabilitation-of-patients-after-glaucoma-filtering-surgery

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