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Lucia Scorolli, Enrico Meduri, Antonio De Leo, Renato Pieralberto Meduri, Edina Zere, Pier Paolo Piccaluga, Sergio Zaccaria Scalinci; A NEW TECHNIQUE FOR GLAUCOMA SURGERY: SCOROLLI TRABECULECTOMY. Invest. Ophthalmol. Vis. Sci. 2013;54(15):4484.
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Prospective study to value the efficacy of Scorolli trabeculectomy, a new tecnique using only low cost material. It aims to reduce the complications of classic trabeculectomy in open angle glaucoma: hyphema, inflammation of the anterior chamber, excessive filtration leading to hypotonia, reduced or abolished anterior chamber, choroidal detachment and endophthalmatis.It is performed with an association of deep sclerectomy and light trabeculectomy with a new artificial maintenance of the spaces.
Patients resistent to theraphy or other filtering surgeries in 110 pseudophakic eyes ( A group)followed for 1,6 year ( A group) and in 42 phakik eye ( C group) followed for 1,6 year .The control group is 35 patients (group B) trated with deep sclerectomy adding T-flux valve or Aquaflow type plant collagen . All patients were obliged to maximal therapy and often resistent to other surgery. Authors have valued average age, preoperative and postoperative intraocular pressure for 1,6 year and so Humphrey computerized visual fields and preoperative and postoperative best corrected visual acuity.
Complete success if intraocular pressure is ≤15 mm Hg without therapy, partial success if intraocular pressure is ≤ 18 mmHg with or without therapy, failure success if intraocular pressure is > 18 mm Hg.with or without therapy. Group A and C have never had patients with intraocular pressure >15 mm Hg without therapy. Visual fields have had no significative differences between preoperative and postoperative, even thought subjective improvements are declared. No significative differences between preoperative and posoperative Best Corrected Visual acuities.
Excellent technique, light difficulty in learning curve,strongly reduction of postoperative inflammation in anterior chamber, no a-ipotalamia, flat blab , no choroidal detachments, possible surgery in outpatients, strong maintance of low intraocular pressure over time, very limited cost.
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