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Axial Length Changes after Glaucoma Deep Sclerectomy Surgery

Abstract

Aims: The aim of this study is to determine the longitudinal change in the eye´s axial length (AL), produced by a non-penetrating deep sclerectomy (NPDS). Methods: 22 subjects diagnosed with glaucoma were included in the study (14 at one-month follow-up and 8 at a follow-up of at least one year), who had undergone combined glaucoma and cataract surgery. Compare with a control group of 20 eyes follow up, 14 of them for one month and 6 for one year. The relationship between changes in IOP and AL were retrospectively analyzed. The intraocular pressure (IOP) measurement was taken using contactless tonometry (Topcon CT-80). The AL and depth of the anterior chamber (ACD) was calculated using optical biometry (IOL Master, Carl-Zeiss). An assessment of the refractive status was performed through subjective refraction before and after surgery. Results: An average reduction in IOP of 10.14 ± 6.67mmHg (p0.3, p<0.05) allows us to predict the reduction in AL according to the following formula: Reduction in AL (mm) = 0.065 + (0,006xReduction in IOP)

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