Deep Sclerectomy with Nonabsorbable Implant (T-Flux) in Patients with Pseudoexfoliation Glaucoma

Purpose. to evaluate the effectiveness of deep sclerectomy with t-flux implant (ds t-flux) in patients with pseudoexfoliation glaucoma (pexg). methods. 20 eyes of 18 patients with medically uncontrolled pexg have undergone ds t-flux implantation. postoperatively we evaluated the iop values and the frequency of complications. the minimum follow-up time was 12 months (20 eyes) and the maximum 24 months (10 eyes). results. the mean preoperative iop was 36.8�8.7 mmhg. the iop significantly decreased throughout all postoperative periods (p<0.05) and reached 1 day after surgery 11.45�6.6 mmhg; 3 months 13.45�3.6 mmhg; 12 months 14�2.8 mmhg; and 24 months 14.80�2.4 mmhg. complete success rate,defined as iop ≤ 18 mmhg without medication,was 85% (17/20 eyes) at 12 months. qualified success rate,defined as iop ≤ 18 mmhg with or without medication,was 100% (20/20 eyes). the most frequent postoperative complications were mild hyphaema (9 patients,45%),choroidal detachment (3 patients,15%),and hypotony - iop < 5 mmhg (2 patients,10%). conclusions. ds with t-flux implant is a safe and effective surgical treatment method for medically uncontrolled pexg. the number of complications is low. � 2017 pavel studeny et al.