ĐÁNH GIÁ HIỆU QUẢ SỬA SẸO BỌNG BẰNG KIM HẠ NHÃN ÁP ĐIỀU TRỊ BỆNH NHÂN ĐÃ PHẪU THUẬT CẮT CỦNG MẠC SÂU NHÃN ÁP KHÔNG ĐIỀU CHỈNH

Abstract

Purpose: Evaluate the efficacy of needle revision in the treatment of open-angle glaucoma patients who underwent deep sclerectomy and laser goniopuncture with uncontrolled IOP by maximal medical treatment. Methods: a prospective study. Results: All 5 eyes of 5 failed deep clerectomy patients achieved IOP under 21mmHg, including 3 of 5 eyes having IOP <16mmHg. The number of glaucoma medications reduced significantly after needling, with 2 of 5 eyes having IOP <21mmHg by 1 medication that was 2 youngest patients in the needling group. Complications encountered during and after needling included subconjunctival hemorrhage(2/5), hyphema(1/5). Conclusion: Needle revision is a simple technique with a low rate of severe complications and should be considered as a treatment option before attempting surgical interventions.