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Ten year prospective follow-up of a glaucoma operation

The Double Flap Scheie in primary open angle glaucoma

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Abstract

The results of a longterm prospective follow-up study after the ‘Double Flap’ Scheie filtering operation are presented. Fifty-two eyes of 47 patients with primary open angle glaucoma (POAG) were operated; after ten years 29 eyes of 24 patients could be examined. Twenty patients (43%) had died, in three follow-up was imcomplete.

The two and four year results have been published earlier. In the 29 eyes the mean intraocular pressure (IOP) without medical therapy rose from 15.8 mm Hg at five years to 16.3 mm Hg at ten years (not significant). Additional medical or surgical treatment was necessary in 35% of the eyes. Diurnal variation and outflow facility remained stable. During the ten years 13 eyes showed some deterioration of visual fields. Nearly all clinically important deterioration occurred within five years after the operation.

Cataract progression was noticed in 45% (13 of 29); four times a lens extraction was performed (13%).

Complete succes of the operation, as judged by stable visual fields and IOP levels at or under 21 mm Hg without additional medical or surgical therapy was reached in 13 of 20 eyes (45%). Based on IOP alone the succes rate was 62% without and 93% with additional treatment.

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Authors and Affiliations

  1. Eye Clinic of the University of Amsterdam Glaucoma and Visual Field Department, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    E. L. Greve, C. L. Dake, J. H. J. Klaver & E. M. G. Mutsaerts

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  1. E. L. Greve
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  2. C. L. Dake
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  3. J. H. J. Klaver
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  4. E. M. G. Mutsaerts
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Greve, E.L., Dake, C.L., Klaver, J.H.J. et al. Ten year prospective follow-up of a glaucoma operation. Int Ophthalmol 8, 139–146 (1985). https://doi.org/10.1007/BF00136490

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