Scientific article
OA Policy
English

Bilateral non-penetrating deep sclerectomy: difference in outcomes between first-operated and second-operated eyes at 24 months

Publication date2021
Abstract

The purpose of this study was to assess the difference in outcome between the first-operated eye and the second-operated eye following non-penetrating deep sclerectomy (DS), and to identify potential success predictors for the second eye. Methods: This single-surgeon, retrospective study analyzed the outcomes of all bilateral nonsimultaneous DS with at least 24 months of follow-up. Its main outcome measure was surgical success, defined as unmedicated intraocular pressure (IOP) ≤ 15 mmHg associated with a relative reduction ≥20%. Results: In all, 104 eyes of 52 patients who underwent bilateral (standalone or combined) DS, within a mean of 344.3 ± 526.3 days of each other, were analysed. Post-operatively, mean medicated IOP decreased from 20.7 ± 7.9 (first-operated) and 19.3 ± 6.6 mmHg (second) at baseline (p = 0.107) to 13.8 ± 4.8 ([-33.3%; p < 0.001] first-operated eyes) and 12.7 ± 3.8 mmHg ([-34.2%; p < 0.001] second eyes) after 2 years (p = 0.619). Post-operative IOP and treatments reduction respectively showed fair (r = 0.53) and good (r = 0.71) levels of correlation between fellow eyes. Rates of complete success were comparable between first-operated and second-operated eyes (32.7% and 40.4%, respectively; p = 0.364). At 2 years, among patients whose firstoperated eyes were considered a success, 82.4% of surgeries in second eyes were successful (p=0.001). The odd ratio of a second-operated eye experiencing complete success were 6.32 (p = 0.011) if the first operated eye experienced complete success. Conclusion: The present study demonstrates a strong association between first-operated eyes and secondoperated eyes following DS, in terms of surgical outcomes and IOP reduction. In effect, surgical success in the first-operated eye increases the odds of success in the second eye by 6 folds.

Keywords
  • Glaucoma
  • Filtering
  • Filtration
  • Surgery
  • Contralateral
  • Risk
  • Complications
  • IOP
  • Symmetry
  • Association
  • Copyright © 2021 Wolters Kluwer Health
  • Inc. Unauthorized reproduction of the article is prohibited
Affiliation entities Not a UNIGE publication
Citation (ISO format)
GILLMANN, Kevin et al. Bilateral non-penetrating deep sclerectomy: difference in outcomes between first-operated and second-operated eyes at 24 months. In: Journal of Glaucoma, 2021. doi: 10.1097/IJG.0000000000001897
Main files (1)
Article (Accepted version)
accessLevelPublic
Identifiers
Journal ISSN1057-0829
198views
307downloads

Technical informations

Creation26/08/2021 08:48:00
First validation26/08/2021 08:48:00
Update time16/03/2023 01:13:53
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