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- W2043039904 abstract "In Brief Purpose: To correlate trabeculo-Descemet's membrane (TDM) changes with a late rise in intraocular pressure (IOP) in patients with successful viscocanalostomy. Setting: Consultores Oftalmológicos, Hospital Oftalmológico Santa Lucía, and Centro de Estudios Médicos e Investigación, Buenos Aires, Argentina. Methods: Patients who had a viscocanalostomy between July 1998 and September 2001 were retrospectively studied. Gonioscopy was performed in all patients. A subgroup of patients who had a late increase in IOP and were successfully treated with neodymium:YAG (Nd:YAG) laser goniopuncture were studied to correlate gonioscopic findings. Ultrasound biomicroscopy was performed in 10 cases. Intraocular pressure measurements were taken before viscocanalostomy and before and after Nd:YAG treatment. Results: Sixty-eight eyes of 48 patients had a viscocanalostomy to control IOP. Twenty-six eyes had a late increase in IOP and were successfully treated with Nd:YAG laser goniopuncture. Before goniopuncture, 17 eyes (65.30%) had a concave TDM. The mean IOP in these patients increased from 14.27 mm Hg to 18.73 mm Hg (range 14 to 27 mm Hg). Goniopuncture was performed a mean of 10.7 months (range 1 to 36 months) after surgery. After Nd:YAG treatment, the TDM was flat in all patients who had a concave TDM before treatment. At the last examination, the mean IOP was 13.8 mm Hg, a mean decrease of 52.24% from the baseline preoperative IOP; 61.5% of eyes had a final IOP of 14.0 mm Hg or lower. Conclusions: A concave TDM was associated with a late IOP rise. The TDM was flat after laser goniopuncture and normalization of IOP. Gonioscopy showed that the presence of a concave trabeculo-Descemet's membrane was associated with a moderate increase in IOP. Laser goniopuncture reduced the IOP and strengthened the membrane." @default.
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- W2043039904 date "2004-04-01" @default.
- W2043039904 modified "2023-10-18" @default.
- W2043039904 title "Concave trabeculo-Descemet's membrane as an early sign of viscocanalostomy failure" @default.
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- W2043039904 doi "https://doi.org/10.1016/j.jcrs.2003.08.017" @default.
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