title: An ultrasound biomicroscopy study after deep sclerectomy with supraciliary implant.
abstract: OBJECTIVE
  To evaluate patients 24 months after deep sclerectomy (DE) with supraciliary implant, and identify any predictive success factors by examination with ultrasound biomicroscopy (UBM) MATERIAL AND METHODS: This study included 26 eyes of 23 patients evaluated by UBM 24 months after a deep sclerectomy with a supraciliary hema implant.
  
  
  RESULTS
  There was a significant reduction in intraocular pressure (IOP), changing from a preoperative mean of 25.6 ± 6.4 mmHg to a postoperative mean of 16.2 ± 3.4 mmHg (P<.001). The number of preoperative glaucoma medications also decreased from 2.5 ± 0.6 drugs per patient to 0.5 ± 0.5 (P<.001). No change was observed in the best-corrected visual acuity. The anatomical characteristics of the surgical area, and its relationship with IOP were examined using UBM. There was no correlation between the level of IOP at the time of UBM and the horizontal (r=-.05: P=.71) and vertical diameter (r=-.1; P=.63), the height (r=.28; P=.25) and the volume of intrascleral space (r=-.08; P=.79), the thickness (r=-.07; P=.73) and the length (r=.39; P=.13) of trabeculo-Descemet's membrane (TDM), the presence of filtering bleb (P=.30) and the hypoechoic area in the supraciliary space (P=.24).
  
  
  CONCLUSIONS
  The insertion of a hema implant in the supraciliary space is an effective and safe surgery for patients with open angle glaucoma (OAG). No predictive success factors for supraciliary implant were found using the UBM study.
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España. Electronic address: jordiloscos4@hotmail.com.
authors: J
authors: J
authors: Loscos
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
authors: X
authors: X
authors: Valldeperas
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
authors: A
authors: A
authors: Parera
authors: Departamento de Estadistica e Investigació, Universitat Politécnica de Catalunya.
authors: K
authors: K
authors: Langohr
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
authors: J de la
authors: Jde L
authors: Cámara
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
authors: M
authors: M
authors: Domingo
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
authors: J
authors: J
authors: Castellvi
authors: Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
authors: A
authors: A
authors: Sabala
mesh_terms: D000368:Aged; D001082:Aqueous Humor; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D009883:Ophthalmic Solutions / Q000627:therapeutic use; D012212:Rheology; D012590:Sclera / Q000601:surgery*
chemical_list: D009883:Ophthalmic Solutions
keywords: Biomicroscopia ultrasónica; Deep sclerectomy; Esclerectomía profunda no perforante; Glaucoma; Implante supraciliar; Supraciliar implant; Ultrasound biomicroscopy