Complications of Neodymium:YAG laser goniopuncture after deep sclerectomy.
OBJECTIVE
To study the complications of Neodymium:YAG (Nd:YAG) goniopuncture after deep sclerectomy with collagen implant (DSCI).


METHODS
All patients who underwent a Nd:YAG goniopuncture after a successful DSCI for primary open-angle glaucoma were included in a non-randomized clinical study.


RESULTS
Nd:YAG goniopuncture was performed in 31 patients. The mean time from surgery to goniopuncture was 3.2 +/- 3.2 months. The mean intraocular pressure (IOP) before goniopuncture was 32.0 +/- 10.8 mmHg (SD); the mean IOP 1-2 hours after goniopuncture was 16.5 +/- 6.3 mmHg. After a mean follow-up of 5.4 +/- 2.8 months, the mean IOP was 17.8 +/- 11.6 mmHg. Three patients had a spontaneous iris prolapse after Nd:YAG goniopuncture and consequently high IOP. No signs of severe hypotension were observed.


CONCLUSIONS
There are potentially serious complications relating to Nd:YAG goniopuncture after deep sclerectomy. However, further studies are needed to determine the safest time and level of IOP at which to perform Nd:YAG goniopuncture.
Vuori
Marja-Liisa
ML
Department of Ophthalmology, Turku University Hospital, Turku, Finland. marja-liisa.vuori@tyks.fi
D000368:Aged; D000369:Aged, 80 and over; D003094:Collagen; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007499:Iris Diseases / Q000209:etiology*; D053685:Laser Therapy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011391:Prolapse; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D011677:Punctures / Q000009:adverse effects*; D012086:Reoperation; D012189:Retrospective Studies; D012599:Sclerostomy; D014129:Trabecular Meshwork / Q000601:surgery*
D003094:Collagen