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مقاله
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Abstract
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Title:
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Modified deep sclerectomy for surgical treatment of glaucoma
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Author(s):
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Farideh Sharifipour, MD; Shahin Yazdani, MD; Mona Asadi, MD; Azadeh Saki, PhD
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Presentation Type:
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Oral
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Subject:
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Glaucoma
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Others:
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Presenting Author:
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Name:
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Farideh Sharifipour
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Affiliation :(optional)
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Department of Ophthalmology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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E mail:
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sharifipourf@yahoo.com
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Phone:
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4440063
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Mobile:
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09161117223
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Purpose:
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To report the short term results of a modified deep sclerectomy (MDS) technique for surgical management of glaucoma.
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Methods:
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This prospective, non-randomized clinical trial consisted of 102 open angle glaucoma patients scheduled for glaucoma surgery alone or combined with cataract surgery. They were assigned into 4 groups including trabeculectomy (TE) and MDS alone and combined with phacoemulsification. MDS included a third scleral flap removal to expose suprachoroidal space and removing a trabecular block similar to TE. Intraocular pressure (IOP), number of medications, and complications over a period of 6 months were compared.
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Results:
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All groups showed significant decrease in IOP and number of glaucoma medications. (All Ps<0.001) Although IOP was significantly higher in MDS group both at baseline and 6 months compared to TE group, both groups showed similar IOP reduction. (P=0.391) MDS group needed more medications at 6 months. (P=0.006) PMDS group had similar IOPs at baseline and 6 months, (P=0.324, and 0.469, respectively) more medications at baseline (P=0.031) and similar number of medications after 6 months compared to PT group. (P=0.761) TE and PT groups had more complications (P=0.043)
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Conclusion:
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MDS has similar efficacy and higher safety profile compared to TE and technically easier than conventional DS.
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Attachment:
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