title: Long-term evaluation of efficacy and safety of deep sclerectomy in uveitic glaucoma.
abstract: OBJECTIVE
  To assess long-term efficacy and safety of deep sclerectomy (DS) in uveitic glaucoma.
  
  
  METHODS
  Thirty-three consecutive eyes (21 patients) with uveitic glaucoma underwent DS with mitomycin C and implant. Goniopuncture (GP) was done for uncontrolled postoperative intraocular pressure (IOP).
  
  
  RESULTS
  Mean (± SD) follow-up was 33.2 (± 19.8) months. IOP was reduced from a mean preoperative value of 37.2 to postoperative value of 14.7 mmHg (p < 0.0001). Complete success was achieved in 24/33 eyes (72.7%); qualified success was obtained in 7/33 eyes (21.2%). Neodymium:YAG GP was performed in 12 eyes. Postoperative complications included cataract progression in 9 eyes, transient hypotony in 6 eyes, shallow choroidal effusions in 4 eyes, hypotony with persistent maculopathy in 1 eye, hyphema in 1 eye, and decompression retinopathy in 1 eye.
  
  
  CONCLUSIONS
  DS is safe and effective in patients with uveitic open-angle glaucoma. However, laser goniopuncture is frequently needed to improve the outcome.
authors.affiliation: Department of Ophthalmology, College of Medicine, King Saud University , Riyadh , Saudi Arabia.
authors.forename: Saleh A
authors.initials: SA
authors.lastname: Al Obeidan
authors.forename: Essam A
authors.initials: EA
authors.lastname: Osman
authors.forename: Ahmed
authors.initials: A
authors.lastname: Mousa
authors.forename: Abdulrahman M
authors.initials: AM
authors.lastname: Al-Muammar
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: Abu El-Asrar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D020327:Glaucoma Drainage Implants; D005902:Glaucoma, Open-Angle / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012590:Sclera / Q000601:surgery*; D013997:Time Factors; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D014792:Visual Acuity; D055815:Young Adult
keywords: Deep sclerectomy; glaucoma; goniopuncture; implant; uveitis