POST-OPERATIVE FOLLOW-UP OF DEEP SCLERECTOMIES

Dr. Andr Mermoud,Glaucoma Center,

Swiss-Visio, Montchoisi, Lausanne, Switzerland

SAOO-KongressLucerne, 7.3.19

DISCLOSURES

NOVARTISALLERGAN

RHEON MEDICALDIOPSIS

FABRINALSAV

DEEP CUBEGLAUKOS

STAAR SURGICALSANTENALCON

07.03.2019 3

To optimize the follow-up after Deep Sclerectomy

1. The technique of the surgery 2. The target pressure

3. The filtration mechanisms

We need to understand:

Main trends in filtering surgeries

1900: Full thickness 1960: Guarded filtration 1990: Deep sclerectomy

AIM AND PROGRESS OF DEEP SCLERECTOMYVERSUS TRABECULECTOMY:

Creation of the Trabeculo-Descemets MembraneCreation of new ways of aqueous resorption:

o A new intra-scleral filtering blebo A sub-conjunctival diffuse filtering blebo A new sub-choroidal drainage

(Reduction of the size of sub-conjunctival bleb)

1

0

5

10

15

20

25

30

D-1 W1 M2 M6 M1

2M2

4M3

6M5

4M6

6M7

8M9

0M1

02M1

14M1

26M1

38

Time

IOP

(mmH

g)

Mean post-operative IOP

Graph3D-17.5094751549D13.1908888469W14.5203868649M15.5712578912M24.2699743701M33.6976583936M63.857695968M94.6686060396M123.3236167907M183.7850403713M243.8101558018M303.7107293347M364.0011561696M484.6982953921M544.6083387972M603.6974205018M664.0917614883M724.0853301556M784.6134684251M844.7846066384M903.6089662898M964.0549247134M1024.7015774925M1083.7178704894M1146.1472778032M1204.9065988876M1264.1213218896M1324.0586607733M1382.5495097568M1443.0550504633TimeIOP (mmHg)26.65079365085.41269841277.370967741911.841269841312.354838709712.836065573813.2513.617647058813.83928571431413.312513.073170731713.765957446813.234693877612.136363636412.469387755112.456521739111.97674418612.333333333312.340425531911.673913043511.861702127712.630434782612.548780487812.74390243912.166666666710.882352941210.54545454559.7510.6666666667Graph1D-17.5094751549D13.1908888469W14.5203868649M15.5712578912M24.2699743701M33.6976583936M63.857695968M94.6686060396M123.3236167907M183.7850403713M243.8101558018M303.7107293347M364.0011561696M484.6982953921M544.6083387972M603.6974205018M664.0917614883M724.0853301556M784.6134684251M844.7846066384M903.6089662898M964.0549247134M1024.7015774925M1083.7178704894M1146.1472778032M1204.9065988876M1264.1213218896M1324.0586607733M1382.5495097568M1443.0550504633Time [months]IOP [mmHg]26.65079365085.41269841277.370967741911.841269841312.354838709712.836065573813.2513.617647058813.83928571431413.312513.073170731713.765957446813.234693877612.136363636412.469387755112.456521739111.97674418612.333333333312.340425531911.673913043511.861702127712.630434782612.548780487812.74390243912.166666666710.882352941210.54545454559.7510.6666666667SmaSnumberIMPPoliNameEyeSexDOBDOOAgeDiagnosisBFD-1D1W1M1M2M3M6M9M12M18M24M30M36M48M54M60M66M72M78M84M90M96M102M108M114M120M126M132M138M144Last IOPLast visitLast IOPLast visitTime Medication introducedNB tttTime 2nd Medication introducedNB tttTime 3rd Medication introducedNB tttTime 4th Medication introducedNB tttTime 5th Medication introducedNB ttttttpreoptttafterttt afterCiridotomie (M84), Cataracte (non opre)0YAG 3x, Cyst,iridotomie (bombement iris), Cata non op11136211083146119158MMC8.98.213.75.511.311.67.29.211.412.913.711.446.536.962.228.537.54021.754.553.662.833.232.380OK340175PieperLF30/09/3207/10/9674GPAOdiffuse232412121210832119.518.51521131618.518.511460272188 Stop M108143110.70.70.7110.90.80.60.80.80.70.70.80.90.90.80.60.6YAG(M12), Seidel (plastie conj M56), Cyst (M96), MMC 1x (M96)0YAG, Seidel, Cyst, MMC1111961112254MMC8.533.63.23.12.84.118.137.413.131.681OK178078PillerLF27/05/4007/09/9566GPEXkystique464121515161536101316161620201715151921161317131412111112660291123110.811111110.60.60.60.510.90.70.80.80.80.70.80.70.80.90.9YAG (M12), cataracte op (M60), compliance douteuse (M102)0YAG, cataracte op, compliance douteuse111124610No4.24.55.23.53.53.22.61.158.75.89.19.86.74.84.820.44.59.726.456.715.482OK321776PippiaLM17/01/3307/12/9473GPAObelle, bien ferme, microkyste306141112131613161012131599101199989788910888138112110.80.60.810.50.60.60.810.80.70.70.80.810.910.50.80.50.50.71110.60.60.50.5Cyst (M1), FU 5x (M1), Needling 1x (M1), YAG (M9), Cata (non opre)FUCyst, FU 5x, Needling 1xYAG, Cata (non opre)111111511192213No3.62.50.810.20.30.2-0.3-0.5-0.9-0.78.44.25.80.3252.60.33.403.184OK178612RitschardBLF02/08/1525/08/9491GPNplate15371010101010101016169696614141381010.90.6111110.80.80.90.80.71110.150.050.01No0No20.221.619.220.319.957.634.470.654.159.389OK332153SchallerRF01/06/4303/10/9663GPIGbelle, ischmique2634681081011161610109101212111010101011436232110.60.60.80.90.80.81110.80.80.80.80.80.810.60.60.8DC (M 0.25), YAG (M48), Cataracte (non opre)0YAG (M48), Cataracte (non opre)110.251148168MMC17.514.817.615.816.316.217.113386.889.990OK314205SchneebergerRF22/11/3122/09/9675GPEXplate, peu marque27281010101214161616151411710212101012111011111142415222310.90.80.90.80.90.90.80.80.80.80.80.80.80.80.90.90.90.60.50.20.60.60.60.8Cat op (M60), capsulotomie (M93)0cat op, capsulotomie1MMC99.410.610.610.210.582.466.173.892OK191236StockerRF28/07/3027/04/9576GPAOplate2174141414141616221716201814172019171619171713260110212210.50.70.60.60.60.60.60.60.60.60.60.90.40.50.60.70.60.60.80.70.60.6YAG (M62)0YAG116217?MMC17.821.121.925.728.295hm, OK255224Trian/FischeraRF15/08/4608/06/9460GPAOkystique et ischmique211091212131413141519211616199676787778788814447 Stop 7213010.60.40.40.50.50.40.50.50.50.40.40.40.40.40.40.40.50.50.50.50.50.50.50.50.40.40.40.40.10.1cyst (M60), YAG (M66)0Cyst, YAG111661912MMC13.312.413.513.714.514.18076.9111.36360.152.497OK324015VaillatRF11/06/2230/03/9584GPAOgrosse2761615121312121415181716148108151012101011121010101012648 Stop13010.90.7110.80.850.91110.40.911110.90.70.70.60.40.06Cyst (M 0.25), FU 2x (M 0.25), DELLEN (M ? ), Dystrophie cornenne (qui explique la baisse de AV)FUCyst, FU 2xDellen, dystrophie cornenne11120.25MMC1516.816.714.81411.312.51313.145.357.651.951.756.156.750.448.237.6101OK, DCD (M114)304303WeisserLF01/09/1619/02/9689GPEXischmique2233669910115661288791010510778810860232110.90.80.70.70.81110.80.80.70.80.50.7111.251.251.5111YAG (M18), cat op (M54)0YAG, Cata op11118175MMC13.911.39.59.812.7694211.125.624.6105OK336366ZollingerRF10/01/3323/05/9673GPEXprsente, petite203799128161312111010911912138101413101212120201110.8110.90.90.910.90.910.80.70.50.50.90.50.60.5YAG (M18), Cataracte (non opre)0YAG, cataracte (non opre)11118168MMC9.14.69.59.59.47.896.7149.329.2192.2191.3165.5151.4182.3132sum Fibrosesum Cystsum Platesum Etalesum Hyphsum Dellensum Catasum Hypotsum G. malinsum Siedelsum DCav. timesum Needav./patientav. timesum FUav./patientav. timesum MMCav./patientav. timesum YAGav./patientav. timeav. TO beforeav. TO afterav. timeav. TO beforeav. TO afterav. timeav. TO beforeav. TO afterMoyenne:78.386363636425.755.59090909097.837209302311.136363636411.659090909112.046511627912.62513.262513.309523809512.921052631612.567567567612.12512.714285714312.089743589710.685714285711.833333333311.684210526311.289473684211.435897435911.282051282110.77511.178571428611.707317073211.907894736811.653846153811.214285714310.312510.54545454559.7510.666666666711.2840909091122.31818181822.22727272731.1363636364021814190000.84022727270.64136363640.73681818180.74590909090.75386363640.75860465120.75450.758750.76785714290.75571428570.75142857140.74193548390.75588235290.76486486490.70.77105263160.66818181820.68285714290.73378378380.69368421050.704750.69146341460.69756097560.71270270270.69868421050.63678571430.7068750.65909090910.626250.633333333361200222711430.25111103.12.5751196271.148148148124.314814814819.05555555569.7265.666666666716.666666666712.666666666711915812.288095238111.559259259311.277777777810.5210.24782608710.79666666679.52173913049.62916666678.843478260910.27727272738.28571428575.819.447.848780487845.404347826154.0549.642857142943.673913043548.123076923136.942857142950.042857142941.8941.384210526333.0520.02539.7Ecart type11.43884835057.16297002193.39848243714.09372477134.50627938673.6468730272.99168282293.40954542424.96524781833.20432706863.15698777873.10501870223.11862252473.27711699493.26438475483.57911777313.44940197483.96678958733.76977950993.61316941933.86753503672.85986820573.71191461443.77653215562.98159956883.58937365553.08349420433.49702254314.05866077332.54950975683.05505046333.025853189811.22242921780.71083430721.19282562890.28055997690.24405099460.27651294370.27554021510.25912388980.23450638530.26030504790.22213633490.25274624040.24216287320.18844788420.24017242910.22420387970.25162385530.22143228780.25670247240.28988634140.27810885960.32361973010.32990925090.348682410.36048967370.33307492020.30244052350.32612525410.33673875540.30346265560.28356496770.38592884240.47258156267.46958719537.03306800657.0671685846.73838208357.0506524246.91288069777.41717641216.49424354916.74050349397.15674386045.99433798785.326964947840.128594056834.768304247451.476951364147.617133771133.925656922641.903033853830.870610156446.677688154342.915570723535.206237817825.832766367216.0854637128Failure: ( 19 patients )4OK.Failure M54 (Re-SPIC)318123AntilleLF17/08/2110/07/9585GPEXflat2462151414162020151820171522111014161414101181014121122541113291781311110.50.6110.80.80.60.60.60.40.70.70.60.150.70.81110.91110.9111YAG (M9), Combine: cata opre + reprise SPIC (M54), YAG (M66)reprise SPICYAG, combine: reprise SPIC + phaco, YAG111192018661610No17.214.615.34.414.914.516.116.993.164.882.165.873.861.660.716OK, Failure M 36 ( >21att )323559BiancoRF07/01/4426/01/9562APHplate26806201615141616242022232020222436221203121110.30.40.20.20.30.20.20.20.20.20.20.20.20.20.20.20.2DC (M 0.25), YAG (M 0.25), HYPHAEMA (M 0.25), BF enkyste (M 0.5), FU 1x (M 0.5)DC, YAG, HYPHAEMA, Cyst, FU 1x1110.25110.5110.25220MMC17M.Pucker, OK Failure M24 (Reprise, Sclro-Trabculectomie), OK post Failure312408BiglerLM12/04/2306/10/9483GPEXFibrose2632251213191812232112141112141415111213131112151611142124141321114120125136133210.40.20.20.20.40.30.20.30.40.50.50.20.30.40.30.20.40.30.30.30.30.30.30.30.30.30.40.4Seidel, Fibrose (M1),FU 3x (M1), Needling (M1),YAG (M10), Cata Op (M13), Fibrose (M18), Trabculectomie (M24), Hyphma (M24 post Failure), DC (M24 post Failure), FU (M24 post Failure))Sclro-TrabculectomieSeidel, Fibrose, 3x FU, NeedYag, Cata op, Fibrose, Trabculectomie, Hyphma, DC, FU 1x1111111311110265164.95.30.73.13.1340.71.43.311.51423.615.828.620.519.440.733.314.336.622OK. Failure M102 (Re-SPIC)292232CanoRF05/06/4129/02/9665GPAOKystique244691010101011111515191916121414161021412098222010.90.80.60.70.70.60.60.600.710.70.60.60.60.80.01Cyst (M96), Combine: cataracte snile opre + 2nd SPIC (M102), DR (M120 post Failure)2nd SPIC0Cyst, Combine:Phaco + 2nd SPIC, DR11MMC7.56.530.72224OK. Faliure M6 (Reprise, transformation en Trabculectomie)257441CaudereyRM10/07/4503/11/9461GPAOkystique, fibrotique28227101023474556767662366120516122010.40.50.30.70.70.60.50.150.10.70.70.60.50.50.5BF Fibrotique et Kystique (M6), FU 5x (M6), Need 2x (M6), Trabculectomie (M6)TrabeculectomieBF Fibrotique et Kystique, FU 5x, Need 2x, Trabculectomie11?126156MMC12.212.685.894.232OK. Failure M84 (2nd SPIC)333947DjuricLM21/04/2525/02/9681GPAOplate36356161718121519191613141115151818131484131202151296123110.70.50.50.50.70.80.90.30.40.250.150.150.150.20.10.10.10.30.20.2Seidel (M1), YAG (M46), BF plate (M84), Combine: Phaco + 2nd SPIC (M84), MMC (1x) (M 84,25), YAG (M90)2nd SPIC0SeidelYAG, BF plate, Combine: Cata op + 2nd SPIC, MMC 1x, YAG11111461915902211No232135OK. Faliure M84 (reprise SP T-FLUX M84)332129FavreRF16/10/3007/12/9576GPEXplate309101514156151516171430161621202930131212121412308412120301481781841114123211.51.25111110.91111110.90.90.60.50.2510.60.60.60.50.3YAG (M6), BF plate (M66), Cata (apparition vers M72), Combine: Reprise SPIC->SP + T-FLUX avec Phaco (M84), YAG (M86), MMC 2x (M87)Reprise: SP + T-FLUX0YAG, BF plate, Combine: Reprise SPIC -> SP + T-FLUX + Cata op, YAG, MMC 2x11116226861411No25.219.520.82122.122.622.222.42523.818.559.36454.464.457.768.152.93128.641OK. Failure M1 (Fibrose de BF -> Reprise avec trabculectomie). DCD271823GourdouRM10/08/0625/08/94100PsPGfibrose de BF27122030141230112320010.80.80.70.60.71YAG (M 0.25), Fibrose (M1), Trabculectomie (M1)TrabeculectomyYAG, Fibrose, Trabculectomie1110.252018MMC11.28.763.46345OK, Failure M90 (Reprise ancien site SPIC)337167HugFLM05/08/3601/07/9670GPAOtale216018141311141312111212101214141414141611111010101690101209111010.70.40.40.90.90.90.80.80.80.80.80.80.80.80.80.80.80.80.80.80.90.60.630.630.60.6DC (M 0.25), Cyst (M1), FU 5x (M1), BF tale (M88), Yag 2x (M 64) et (M88), Reprise SPIC (M90), Cata op (M114)Reprise SPICDC, Cyst, FU 5xBF tale, Yag 2x, Reprise SPIC, Cata op1110.251511264881616No4.31.39.74.16.87.97.36.411.348.821.894.53971.840.868.982.39148OK. Failure M6 (Reprise SPIC), 2me Failure M21 ( 2me Reprise SPIC + new SPIC), 3me Failure M81 ( Reprise), DCD328898JegerRF02/03/3302/10/9573GPIGKystique3961120181818202220121417171724302124141414201862010211217,21336,42,66390,96332310.50.40.50.70.50.70.40.40.50.40.50.40.40.60.70.60.60.70.60.70.50.80.8Cyst (M1),FU 4x (M1), YAG (M3), Reprise SPIC (M6), DC (M6 post F), Seidel 2x (M6 post F), Cyst (M7), FU 6x (M7), YAG (M14), 2me Reprise SPIC avec new SPIC (M21), Dellen (M21 post 2me F), Cyst (M22), FU 2x (M22), YAG 3x (M22) (M78) (M79), Cata op (M42),Reprise SPIC, 2me Reprise SPIC avec new SPIC, 3me Reprise SPICCyst, FU 4xYAG, Reprise SPIC, DC, Seidel 2x, Cyst, FU 6x, YAG, 2me Reprise SPIC avec new SPIC, Dellen, Cyst, FU 2x, YAG 3x, Cata op, 3me reprise SPIC, MMC 3x1?1411132018142522 22 78 7922 26 2520 24 24MMC17.215.112.613.61313.312.814.114.720.4102.1120.7122.2113.897.1113.9104.5105.551OK. Failure M48 (2nd SPIC)335411KapeloRM07/06/4928/03/9657GPAOkystique523792214111416202020202511161212101114101412102548101202 Stop 4118142152, 53, 601, 1, 1223110.30.80.60.50.91110.90.80.80.80.80.70.60.60.70.80.80.80.50.60.6Hyphma (D 1), Dellen, Fibrose (M1), FU 2x (M1), Cyst (M36), YAG (M47), 2nd SPIC (M49), MMC 1x (M50), YAG (M52)2nd SPICHyphma, Dellen, Fibrose, FU 2xCyst, YAG, 2nd SPIC, MMC 1x, YAG111112111471919521811MMC21.716.319.419.123.420.821.416.118.447.229.953.554.751.749.860.645.175.856OK. Failure M110 (Phaco + SP avec R-50)333955KrugerRF12/02/2528/03/9681GPNBF absente2143101112141516161715131418141616151616161818111018108101208421141221110.90.80.8111111111111110.70.80.5BF plate (M102), Ropration -> Combine: Phaco + SP avec R-50 (M110)Rop -> Combine: SP avec implant Ex-PRESS R-500BF plate, Combine:Phaco et SP + Ex- PRESS R 5011MMC17.414.514.4101013.515.270.486.990.479.9110.157OK. Failure M70 (Phaco + Reprise SPIC sur le mme site)338542LaagerLM30/06/3604/09/9670TRAUMAprsente mais paisse3652141418191820222322212424201313181410101013661011448 Stop 662 Stop60171178141210.70.40.40.30.711110.90.910.90.90.80.80.4111111Fibrose (M1), FU 1x (M1), Yag (M66), Combine: Reprise SPIC sur le mme site + Phaco avec IOL (M70), DC (M70 post Failure), Cyst (M70 post Failure), MMC (M70 post Failure)Reprise SPIC sur le mme site0Fibrose, FU 1xYAG, Combine:Phaco + Reprise SPIC, DC, Cyst, MMC1111111661010MMC2.12.71.42.72.54.39.334.5814.512.53063hm, OK, Failure M126 (Reprise SPIC)43825MarletazLF21/04/4301/11/9463GPAOplate36224678121214615191213131518201717194020201820126181321142132122110.80.60.60.70.80.80.50.80.30.20.81.21110.811110.90.80.90.90.6Hyphma (M1), Dellen (M1), Cata op (M18), BF plate (M114), YAG 2x (M24) (M123), Reprise SPIC (M126)Reprise SPICCata Ophyphma, DellenCata op, BF plate, YAG 2x, Reprise SPIC111112242261232722MMC2.84.40.20.60.10.70.10.90.59.58.83.45.43.51.81.67.54.285OK, Failure M3 (transformation: trabculectomie). DCD M114232612RionLF30/03/1918/04/9687GPAOfibrose21810172827275357546273611413430110.50.60.810.60.40.30.30.30.20.30.20.160.2Fibrose (M 0.75), YAG (M 0.75), FU 3x (M 0.75), ABSCESS (M1), TRABE (M3), Seidel (M3 post Failure), Hypotension (M3 post Failure), CA basse (M3 post Failure), DC (M3 post Failure), Cataracte, BF polykystique qui fait une dissection cornenne (M108)TrabculectomieFUYAG, Fibrose, FU 3x, AbscessTrabculectomie, Seidel, Hypotension, CA basse, DC, Cataracte, BF polykystique qui fait une dissection cornenne1131110.752418MMC9.67.98.764.960.949.793OK. Failure M111 (2nd SPIC)317326StubyRF25/05/2510/06/9681PsPGplate202613131417171513131317181717182319211929222014221081412011781114142110.90.60.90.70.80.80.80.80.80.80.90.90.90.90.810.90.910.90.90.80.60.70.5BF plate (M102), YAG (M108), 2nd SPIC (M111), petit Seidel au limbe (M111 post Failure), MMC 1x (M111 post Failure)2nd SPIC0BF plate, YAG, 2nd SPIC, petit Seidel au limbe, MMC 1x1111082216MMC12.212.112.212.714.215.213.415.257.18.99.29.19.394OK. Faliure M18 (cyclophotocoagulation).DCD (Dossier du Dr. Merz dtruit)339924ThonneyRF24/06/1802/10/9688GPAOplate2941524111715202310141615231815541212130223210.90.70.70.70.70.60.60.80.50.1250.1Fibrose (M 0.25), FU 4x (M 0.25), YAG 2x (M1,M6), Needling 2x (M12), cyclophoto (M18), Cataracte (M24), trou maculaire avec bord surlev (M30)CyclophotocoagulationFUFibrose, FU 4x, YAG 1xYAG 1x, Needling 2x, cyclophoto, Ref G, Cata, trou maculaire avec bord surlev11212140.25121302562015No100OK, Faliure M37 (Reprise SPIC), 2me Failure M48 (2nd SPIC), 3me Failure M101 (Reprise site SPIC + pose collagne), 4me Failure M103 (Cyclophotocoagulation)332373VonRotzRF24/02/5405/02/9652GPAOIschaemic28478101081217231810111110918162021151092336912018238, 401, 184, 903, 11022108232210.10.10.10.10.10.10.050.050.10.050.10.10.050.010.10.050.050.10.10.1Hyphema (M1), Cata, YAG (M36), Reprise SPIC (M37), Cyst (M38), MMC 2x (M38), 2nd SPIC (M48), IRIS PROLAPSE, Cata op (M85), YAG (M90), Reprise site SPIC + pose collagne (M101), Need 1x (M101 post Failure), MMC 2x (M101 post Failure), Cyclophotocoag (M103)Reprise SPIC, 2nd SPIC, Reprise SPIC, Cyclophotocoag,0HYPHAEMACATA, YAG, Reprise SPIC, Cyst (M38), MMC 2x (M38), 2nd SPIC, IRIS PROLAPSE, Cata op, YAG, Reprise SPIC, Need 1x, MMC 2x, Cyclophotocoag,1111362327901617MMC25.722.925.325.124.422.714.732.319.229.2102hm, Fax. Failure M120 (Cyclophotocoagulation)183405WengerRF14/11/4710/11/9459ANIRIDEAdiffuse2241061020171617161219182017121717192228311616311201613241108122010.150.10.10.10.150.150.150.150.150.150.150.150.150.150.150.150.150.10.10.10.10.10.10.050.05Cyst, FU 1x (M3), Yag (M114), Cyclophotocoagulation (M120), ulcration cornenne importante probablement secondaire la Cyclo sur cell souche limbique (M115 post Failure), Allo-greffe conjonctivo-limbique (M132)Cyclophotocoag0Cyst, FU 1xYAG, Cyclo, Ulcration cornenne, Allo-greffe conjonctivo-limbique1113111142826MMC20.636.7Moyenne:73.368421052628.736842105356.315789473713.473684210514.052631578914.578947368414.058823529414.461538461515.866666666717.615384615414.515.666666666716.642857142917.071428571416.071428571416.15384615381515.384615384614.785714285714.941176470614.142857142914.176470588214.866666666713.614.933333333314.357142857114.7514.7521.894736842158.947368421112.7368421053111.31578947372.47368421051.94736842111.1578947368190.72368421050.52368421050.52631578950.59473684210.66578947370.67631578950.63823529410.66250.60714285710.67083333330.60357142860.68958333330.610.70454545450.60384615380.54230769230.53076923080.61785714290.61538461540.5540.550.5593750.54857142860.4850.50.4150.570.512513.876470588210.166666666713.544444444413.142857142910.4410.755555555613.6313.044444444412.9511.29.41.941.352941176549.636363636473.27551.6845.842.844444444453.088888888949.412541.562551.616666666739.57520.4Ecart Type:12.76370951968.06805845612.68741924945.33388155087.37389103575.09328189564.47605716225.39062366794.5390047483.583028783.59486813715.17018077353.60134654954.18067243135.8633711194.15959106193.9125046085.87039508564.38821264946.97444314216.23969739094.4696780624.24610548216.33433576035.50064931238.93201838236.40441125454.11298755982.98607881125.290397347443.04322592754.253653400531.25531533740.84119102420.84811452391.0145145470.34735845280.28302356650.26424337530.28572263980.27791517070.29644580780.30079551390.32130769730.33099915340.29730481250.32960599190.37559926860.34754239210.32129001340.35323595660.33840690120.33698322260.3473012120.33190398670.36560712720.37779263190.3372529960.32656386210.30247059620.30276503540.29728903310.38665229860.39660013457.82236612325.98396848156.22336547047.77921528679.11204331277.69612095657.83128341978.34312757778.50562838869.29774166139.54812372491.979898987327.419680834430.167607552736.906126088541.787222927637.145005432432.326850724731.364129369636.561276841633.740308132240.940806863933.794217947322.9102597104Lost: ( 10 patients )8OK. Lost (M54),surement Cameroun340716BallaRM27/05/6328/10/9643GPAOishaemic21198612101012131412913134822232110.40.30.30.30.50.40.30.30.30.30.30.40.40.3Fibrose,FU 3x (M 0.25), YAG (M2)Fibrose, FU 3xYAG1130.25112156MMC2928.126.127.71.525.550.238.99OK. Lost (M24). Dr. Martin ne veut pas collaborer avec Prof. Mermoud179956BallyLF28/04/3119/01/9575GPAObelle31157101412161481118301110.81111.251.2111YAG (M 0.25), Hypotonie (M18)YAGHypotonie1110.25217MMC4.937.113OK. Lost (M18)268633BerthouzozRM02/03/1204/02/9694GPEXetalee281214101114131414121121110.50.10.30.30.30.30.30.40.4DC (M 0.25), Cyst (M 0.75), FU 1x (M 0.75)DC, Cyst, FU 1x110.25110.75No44OK. Lost (M102)300253HenryLF12/12/2229/06/9484GPAOplate248131013121416186121610121413141514101312129620110.10.10.10.40.50.20.20.20.30.20.10.10.40.40.40.50.50.30.30.3YAG (M18), Cata op (M30)Cata OpYAG, Cata op111181815No17.417.113.912.99.621.999.484.766.235.265.246OK. Lost (M48)210484InostrozaLM25/03/3020/05/9672GPEXbelle508410131314192013101512123620110.50.50.50.40.60.60.50.40.40.50.60.3DC (M 0.25), YAG (M12), Cata op (M17), VSCP (M36)DCYAG, Cata op, VSCP110.2511122020MMC4.918.723.455.861OK. Lost (M36)41945LiechtiLM29/08/0726/01/9597GPEXplate26341011109891212131330301110.40.30.40.70.50.80.70.70.50.6Cata0No21.633.183OK. Lost (M24)323258RavasioLM25/05/3012/01/9576Steroidcystic505310181317171616161830110.80.70.71110.80.80.80.8No0No2.33.391OK. Lost (M102)124186SpackLF07/10/1419/01/9592GPAOdiffuse182988101010101010101161291213121314131396621111110.30.80.80.7110.70.60.80.80.40.60.40.40.90.80.90.9110.7Hyphema, Cata op (M60), CYST (M62)Catahyphaemacata op, Cyst111No13.912.29.313.7131512.411.615.477.18598.2101.3114.979.973.487.758.196OK,Lost (M90)190451TschelessingLF06/03/2120/05/9685GPAOplate344610101212121211101114101291171211118420110.80.50.50.60.60.60.60.70.80.80.80.70.70.80.70.7111.250.8YAG (M6), CYST (M ?6?), cat op (M64)KysteKyste, YAG, Cata op111162015No2.2-0.21.42.4103OK. Lost (M84)156052YersinRF08/02/1222/01/9794GPAOischmique2661218141111131012131010121010107820110.80.70.80.70.70.70.60.80.30.40.20.20.20.20.30.30.2Kyste, Yag (M1), dellen, cataracte (non opre)0Cyst, Yag, dellencataracte (non opre)1111111918No1.12.56.82.17.18.2Moyenne:81.230.85.36.910.811.711.612.888888888913.22222222221310.555555555611.142857142912.833333333311.333333333310.81210.2512.2511.251211.333333333313.512.511.551.62.30.401600301000.690.440.530.590.660.6550.63333333330.580.610.57777777780.51428571430.40.43333333330.420.4250.5750.650.6250.78333333330.70.650.710.811111111119.0256.37517.566666666720.3512.313.711.615.430.933333333362.7543.47562.233333333376.972.5540.887.758.1Ecart Type:16.074825037911.09354166474.27005074133.78447119453.01109061083.43349514181.07496769982.80376730693.63241578633.94405318874.5030853621.57359158492.31660671391.75119007152.94957624081.63299316191.89296944861.25830573923.51.63299316191.52752523170.70710678120.70710678124.034572812333.72832637410.67494855770.69920589880.30349812370.24585451890.28693785620.27264140060.21705094130.33702126540.342782730.24855135840.24698178070.28185890880.2609506430.24494897430.18618986730.2280350850.20615528130.29860788110.31091263510.37749172180.53463383110.36055512750.494974746810.06832215976.65200471046.41424196617.400900846110.39446968343.81837661847.633478892435.798079557428.359184285446.624555404534.654052192153.740115370210.394469683446.1033621334DCD: ( 29 patients dont 7 rcents et 22 anciens )19OK, DCD (M96)319345BouthillierdeBeaumontLF04/07/1628/03/9690GPEXBelle3024778811108107121111111110610109020110.60.60.60.60.60.60.50.40.30.30.30.60.8110.40.70.70.8cata op (M12), capsulotomie (M30), YAG (M30)0cata op, capsulotomie, YAG11130147No27OK. DCD (M102)46438CottetLF27/10/1511/11/9491GPAObelle256881215141616141210811129101013139696111110.40.60.60.60.60.60.60.60.90.60.90.40.20.40.70.30.40.40.4YAG (M24), Cata op (M68), VSCPYAG, Cata op, VSCP111241912No16.919.387.746.438(AMD), OK. DCD (M78)312136FracheboudRF17/02/1930/03/9587PsPGischmique3451116201415151069961991099722 Stop M16130110.50.40.50.40.50.50.50.50.70.50.40.40.20.050.1250.1250.10.1Cyst (M1), FU (M1), YAG (M12), Capsulotomie (M15),DMLA, seidel (M48)0Cyst, FUYAG, Capsulotomie, Seidel1111111122010MMC8.88.28.811.81419.80.90.762OK. DCD (M78). s/p trab(88)250950MarcanteLM02/05/2605/09/9676GPAOplate192571017101522141312111411117224232111.250.50.50.6111111111110.80.81YAG (M4)0YAG1141810MMC15.913.211.61514.814.478.1110.5134.5129.659.279.373OK,DCD (M78)336080Miserez*LF21/03/2017/06/9682PsPGbelle2424141616121315191411117234161132110.50.30.50.50.30.50.40.40.40.40.40.4No0MMC14.519.318.458.547.869.379OK, DCD(M72)338825PerissetRF19/07/1104/09/9691GPAOdiffuse368111314151516171514141313151515156612121110.70.50.70.70.70.90.90.80.80.80.80.80.80.70.50.60.5No0No4.15.519.998OK. DCD (M84)60857VittozLF24/02/2122/05/9682GPEXplate280512456510141620171716141215157820110.80.80.50.80.80.80.80.70.60.90.50.50.40.9110.811cat op (M39), YAG (M42)0cat op, YAG111422126No115.27.9053.117.729.983Died (M9)71716AnatraRF96PsPGdiffuse28277791212621110.050.020.020.020.020.020.020.02No, DIED 970No18.332.910Died (M24)265191BangerterRF87PsPGdiffuse17111215151217171516161820110.30.30.70.70.650.60.610.80.8No0No16.122.811Died (M30)322277BertholetRRM88POAGdiffuse224141312121413131314142410110.10.40.30.90.70.80.80.80.80.70.5Fibrose, FU 2x (M 0.25)Fibrose, FU 2x1120.25No14Died (M54)289840BessonLM86PsPGflat25861213151715111214151212124812232110.20.10.10.40.20.20.20.050.20.30.30.160.10.1No0MMC17.314.71716.576.191.391.596.115Died (M60)312196BeyelerRF84GPEXcystic25251081212151314914161512125426232110.40.20.30.40.40.40.30.30.30.20.1510.70.70.5YAG (M22), Cata op (M25)0YAG, Cata op11122169No15.213.615.713.115.991.582.189116.199.620died (M36)332917BoveyLF88GPAObelle3622575565553030110.50.50.50.40.40.40.40.250.250.25DC (M 0.25)0DC10.25No28Died (M48)318338DeillonLF82GPAObelle2605459667898121236301110.910.70.90.80.80.80.70.80.910.7No0No1.72.51.913.69.129Died (M66)48587DemanegaRF86GPAOflat1849141413141518131415121416166020110.030.020.050.030.030.030.030.030.030.020.020.020.020.030.7Cata op (M55)0Cata op1No18.420.219.311.845.640.853.728.630Died (M30)260618DeWeisseLF87PsPGdiffuse2347569121011112420110.60.10.10.30.30.30.30.30.40.40.3No0MMC21.122.121.531Died (M24)322203DiserensRF93GPAOcystic2246119610101216161840110.80.60.60.50.50.60.90.90.60.5Cyst (M18)0Cyst1No49Died (M30)253034JordanLF88PsPGcystic2436192018181720141919241121110.050.050.050.050.050.050.050.050.050.050.05Cyst (M1), FU 7x (M2), Needling, YAG (M12), Cata (non opre)CystFU 7x, Need, YAG, Cata (non opre)111721112No64Died (M24)325911MartinLM88GPEXcystic44510986888991840110.10.20.30.30.30.20.30.30.30.25YAG (M1), Cata (non opre)CataYAGCata (non opre)111229No20.820.420.736.557.74768Died (M30)285797MayenfischLF102GPEXflat28272010101210101414241131110.70.40.40.70.70.71110.60.5cata01No16.286.270Died (M72)275123MeylanALF87GPAOcystic191291081112121517121313161616166648222110.50.10.150.150.60.80.40.60.60.20.70.70.80.80.80.90.9Seidel, Cata op (M19), cyst, YAG (M40)HyphemaSeidelCata op, Cyst, YAG11111401411MMC12.612.915.314.814.413.827.727.728.531.834.118.576Died (M18)331542PabstPRM86GPNflat18756912131314141210110.70.70.70.70.80.7111Seidel (M 0.25)0Seidel1No15.213.5101.7123.377Died (M48)186459PabstWRM76PigGflat331091591212101217161517173620110.50.50.50.60.60.60.60.60.60.60.60.60.6cata (non opre)0cata (non opre)1MMC78Died (M72)231765PascheRF86GPEXdiffuse226810131521141414131013131111111166301110.70.80.70.80.80.811110.90.9YAG (M12)0YAG11122814No5.61.82.730.729.84986Died (M1)333924RouillerLM78GPNbelle145440.2510110.10.10.1DECEDE0MMC87Died (M48)318087RousselleLM79PsPGdiffuse3851114171720231414111110103630110.40.20.50.50.50.50.50.40.30.30.30.30.3YAG (M9)0YAG1193216No2488Died (M48)23814SahliLM84GPAOflat2623471014131211111136121311110.40.410.70.70.70.70.60.70.7No0MMC18.920.61819.357.355.863.499Died (M36)340502VockRM77GPAOdiffuse26221213141414202030122221110.81111111110.8Hyphema, DECEDE01MMC13.46.75.910.818.6104Died (M18)269482ZimmerliLM92PsPGdiffuse3412065588991230110.20.10.50.60.50.50.40.40.3Dellen, YAG (M 0.25), DECEDEYAGDellen, YAG1110.25170MMC21.5Moyenne:86.172413793126.34482758624.34482758626.482758620710.555555555610.769230769211.346153846212.185185185213.045454545512.3612.619047619131212.562512.272727272713.111111111113.513.2510.512.58101312.551724137942.21551724142.41379310340.6206896552051222800290.51655172410.38241379310.44724137930.53035714290.53518518520.55185185190.57037037040.570.58576923080.54434782610.52714285710.59588235290.538750.520.6656250.7156250.55714285710.56666666670.750.550.60.414.886363636412.757142857113.4813.04139.419.348.763.8853.5368.557142857151.983333333335.266666666746.4Ecart Type:5.90441097537.04209720223.14274518393.39769553894.47500179064.43898810374.06883086594.22480802513.82320325343.68420050122.99125710163.74165738683.86436713233.30592901724.05193556442.7131367663.27448045072.05287255191.22474487143.53553390592.828427124703.670210259626.55298982170.82450164080.82000841040.33966659980.2606537820.26973395030.26600587770.27476381980.28156208550.31071235130.33377886890.31206631450.30526927140.31562862440.3064118720.30728651130.38239377610.33191476420.32484543030.28784916690.32659863240.3316624790.21213203440.28284271255.73620875756.53484321346.06003300325.31626435265.48270006478.146164741829.134768522236.266966910542.229927513344.003895931433.400563867538.4936791348Les 63 patients en course:1OK223369AerniRM12/02/1813/06/9688POAGischmique20666101010121313131517151014141314131513151515151512012121110.60.60.60.60.60.30.60.40.60.60.50.60.30.30.20.10.10.10.10.010.010.010.010.010.01Seidel (M 0.25), DC (M 0.25), Cata (non opre)Seidel, DCCata (non opre)1110.25MMC22.923.724.54731.92OK216331AmaralRF04/07/2709/09/9679PsPGmoyenne2327881113141112131212111111121312131212131313131142423210.80.80.80.80.80.80.80.80.80.80.80.80.80.70.70.80.70.60.60.60.60.70.60.60.6YAG (M30)0YAG11301412MMC12.714.131.538.75Ok320422AsllaniRM08/06/2610/02/9580GPAOdiffuse2089881010101017614151266610612645911111112001010.40.20.40.10.20.40.50.40.20.410.80.60.40.60.40.30.20.30.40.30.30.40.30.30.3YAG (M54), Cata Op (M19), VSCP (M90), Hypotonie (M96)(sur BF hyperfonctionnelle)YAG, Cata op, VSCP, Hypotonie111154146No13.86.817.115.4212116.714.941.63.819.39.755.653.668.744.66OK332977AuroiRM06/03/4002/10/9666GPAOKystique, ischmique196368101210131413151316.5131010910.511.5912.5913.51111114(stop Timoptic M78)2011.211111110.910.80.911111111.211.20.80.91YAG (M48)0YAG114816.59MMC3.50.41.70.31.26.63.554.35.97OK115104BalistreriRM14/07/2417/06/9682GPAOsp26106712141012121212151014121210101211101110101143011110.90.90.90.80.80.80.80.80.80.8110.9110.8110.8110.8Fibrose, FU 1x (M 0.25), YAG (M 0.25), Cataract op (M52)Fibrose, FU 1x, YAGcat op11110.25110.25181No1.73.251.24.35.65.16.65.78.24.45.86.35.817.811.616.419.224.135.612OK332150BertholetSLF16/02/3108/07/9675GPNfine, mince et calme18414891011121111121212121312131210101114131213131206022210.70.60.60.60.60.50.60.60.60.60.50.60.60.90.70.60.70.91.51.511110.90.7Cataracte opre (M42), capsulotomie (M45)0Cataracte opre, Capsulotomie1MMC16.81512.216.81612.815.916.117.915.116127114.280.7118.170.928.6110.718OK213207BourquinRF17/08/1427/10/9492GPAOdiffuse2241089101212141210181615141013101412161311131313213212110.60.30.30.20.50.60.70.70.70.80.70.40.80.60.710.50.70.50.90.8111Cata op (M33), vscp, capsulotomie (M103), diminution prgressive du CV0cata op, vscp, capsulotomie, diminution progressive du CV1No6.33.92.22.63.132.405.415.48.313.33.31.83.86.40.519.721OK339767BurgenerLM13/06/2626/09/9680GPAO++181015231813135544875117711442 Stop M7237213111.50.511110.90.60.60.60.60.60.60.60.80.6Fibrose (M1), FU 1x (M2)0FibroseFU 1x1112MMC1.55.34.96.25.45.36.74.48.98.213.7151014.416.58.123OK338247CaptRM09/04/2222/07/9684GPIGfine, ischmique2328121010101010912101010911107889999881143010.70.50.50.60.70.60.60.60.60.60.60.60.60.60.60.70.60.60.50.60.60.60.60.4Cataracte (non opre)0Cataracte (non opre)1No23.522.922.922.922.929.93939393925OK316880ChappuisLM22/11/4822/06/9458GPAOIschaemic localisation nasale2010618191414161414121211121214151012131414121212121214141446110222311.250.90.911110.910.90.9111110.90.9111110.80.81DC (M 0.25), Cyst, 7 x FU (M 5-6), YAG (M6)revision +MMC, DCCyst, FU 7x, YAG110.251761163225MMC7.144.74.54.85.34.33.74.83.826.314.818.119.821.418.221.226OK20837CorbazRM07/05/4331/08/9563GPAOBien forme, fine ++2941213131415162012101091098910888978897712641depuis juill.03 0 ttt, patient dit n'avoir jamais eu gttes post op30110.71.251111110.911111110.8110.80.80.80.90.91Cyst, FU 5x (M12), YAG (M12), DellenCyst, FU 5x, YAG, Dellen11151211121815MMC2317.718.417.418.819.518.117.818.341.968.161.271.270.465.270.964.464.233OK44260DrueyRM21/10/1929/09/9487GPAOischmique et plate278102214202019.5191818211818171817171718171616132622210.90.50.50.50.60.60.90.60.60.60.50.50.50.50.60.60.50.50.50.50.5Fibrotic bloc in tunnel01No4.13.14.91.44.82.36.14.834OK78517DufourGLM02/02/1802/02/9588GPAOeo213610109141112121211101010151110118111010101024517611210.50.50.80.70.80.70.60.80.70.70.50.40.60.60.80.80.80.60.60.6111YAG (M45), Cata op (M52)0YAG, Cata op11145183No10.86.99.411.19.11115.415.110.71374.572.7150.2116.2125.696.672143.478.183.736hm,OK339832FesseletRM17/02/2828/10/9678GPAOplate205520151219151919141513121314101414114?58172111311310.80.50.50.60.50.5110.50.70.50.40.40.250.03YAG 2x (M13) et (M60), Cata op (M15)0YAG 2x, Cata op112131511602020No19.216.815.215.630.250.770.710237OK332203FontanazRF22/12/1611/12/9590GPEXBien, prohminante3421012151212121312101112121115242113201315152115151202211513310.020.020.020.020.020.020.030.050.050.050.050.050.050.050.010.030.030.030.06Fibrose, FU 2x (M1), Seidel (M1), Hyphaema (M1), cataracte (non opre), Cyst (M66)0Fibrose, FU 2x, Seidel, Hyphaema, cataracte (non opre)Cyst11111121No14.919.371.736.339OK324027GaneaRF04/08/2201/03/9584APHnormale33612181415181716151111910101191098812620110.90.90.90.80.80.70.90.90.90.90.90.90.90.80.80.80.80.7Cyst (M1), FU (M1), YAG (M60)0Cyst, FUYAG111111601911MMC1514.714.514.812.9107.240OK293132GenevazRF12/05/2603/11/9480GPEXischmique et kystique255812151414101614161414121414141414121211111014109913824 Stop M36120110.90.90.91111111110.80.811111110.90.9111Seidel, YAG (M21)seidelYAG111211714MMC0.214.32.12.32.32.53.52.61.20.83.413.64.622.22.61.83.442OK330636GrivelRF07/03/2327/11/9583GPAOdiffuse, plate25221410142018141514912121213131110121411111211111206168110012310.70.60.60.90.90.90.90.60.90.90.70.911110.60.81.51.2511.25111YAG (M8) et (M54), cata op (M28)0YAG 2x, Cata op112814541612No15.61916.918.517.917.117.115.817.118.196.780.7120.573.164.461.884.373.989.843OK268844GuenotRM06/05/1826/06/9688GPEXpresque plate3434121112121212121211111212121217181717171142010.80.40.40.80.80.80.70.60.70.70.60.70.70.70.70.70.50.50.30.10.50.6Cataracte opre (M102)0Cataracte opre1No4.64.35.76.56.822.812.827.924.524.447OK178032JaninRM30/06/5425/02/9652POSNER-SCHLOSSMANdiffuse489489881217101089971015131311121716151511430110.711111111110.80.80.60.90.90.90.90.80.8YAG (M12), Cat op (M58)0YAG, Cata op11112178MMC28.92.350OK251179JosephRM02/07/1312/01/9593GPEXprsente38101315121315151916139141051310101099881011111320.25 Stop M3112 Stop M48110110.5110.90.811110.70.50.60.50.40.410.90.90.80.70.70.80.8Fibrose (M18), YAG (M18), Cata op (M78)0Fibrose, YAG, Cata op1111181613No17.115.414.914.61689.3104.8105.1100.568.253OK177076KirchmeierRF22/08/1522/06/9586GPAOpetite2412151314101213131314121214101010101012111010101206622210.50.30.20.150.20.40.30.30.20.20.40.10.10.10.10.10.050.050.030.030.030.03YAG (M27), Cata (non opre)YAG, Cata (non opre)111271410No23.823.521.927.454OK177076KirchmeierLF22/08/1528/09/9586GPAOplate309121416171919181910181416151414141414151514141412020 Stop M?16021210.30.30.30.40.40.50.50.50.50.40.20.20.10.10.10.10.050.050.030.030.030.03YAG (M24), Cata (non opre)0YAG, Cata (non opre)111241510No20.119.852.860.455OK317484KormannLM11/06/5520/11/9551TRAUMATrs marque, plutt kystique3081210121112181010101117111311141289777991200.25 Stop M612011.25110.710.80.80.8110.90.90.810.9110.910.71110.60.6Cyst (M 0.25), FU 4x (M 0.25), qqles plis rtiniens dans rgion maculaire gche (M105)FUCyst, FU 4xQqles plis rtiniens dans rgion maculaire1140.25MMC21.24.24.83.54.61.77.66.36.93.340.648.454.257.249.182.846.419.258OK. DCD (M114)255051LadorRM03/06/1002/09/9496GPAO++, fine2141011121210912131415191214111213111414111510101083010.40.70.60.60.70.70.70.60.80.70.60.60.60.60.30.40.80.40.50.50.40.40.40.8Cataracte opre (M102)0cataracte opre1No14.212.913.912.110.510.711.112.413.2111.493.4107.8114.278.589.5107.390.564.559ok175142LambeletLF28/07/2308/03/9583GPEXplate29510161415168101210108997910101110814109131312011112110.90.90.90.80.80.80.80.70.90.90.60.60.60.70.70.90.60.80.80.90.90.90.80.90.90.6Fibrose, FU 3x (M2), YAG (M9), Cata op (M66), VSCP(M120)FUFibrose, FU 3xYAG, Cata op, VSCP11132119188No0.92.90.20.10.40.23.2-21.35.81.63.40.31.910.38.9460Mgla, OK262255LesoeurRF02/03/3527/10/9471GPAOKystique + ischmique391271223171717191015151711131011121810101012111212101011111382011.250.91.251.251.251.251.251110.71.251.251.2510.90.90.90.90.90.91.5111.51.2111Gl. Malin (M 0.5) (G. malin par bloc ciliaire tt par Scopolamine puis par une Phaco + IOL M 1.25), Cyst (M?)hyphemaGl. MalinCyst11MMC3.86.263.63.43.72.53.70.90.72.60.29.44.93.75.81.54.58.210.62.26.31.75.265OK335945MassonLM10/08/1902/06/9687GPEXpetite22358987131111121214111314121214162013151111111206019622310.60.60.80.80.80.80.60.70.70.70.70.910.90.910.90.80.80.80.80.80.80.8Cata op (M48)0Cata op1No12.313.314.4142280.783.941.566ok317373MathysR*F05/03/3101/06/9475GPAOkystique + ischmique2715131616131418181312101010610105556611131010101210101014412 Stop M3012011111111110.910.80.80.90.70.60.60.60.90.70.60.010.20.40.810.80.80.80.8Cyst, YAG (M18),vitrectomie (M100)(vitrectomie pour Hmorragie vitrenne M88 et rcidive M96), Cata op (M111), Capsulotomie (M132)0Cyst,YAG,vitrectomie (Hmorragie vitrenne),Cata op,Capsulotomie1111182013MMC22.722.523.122.92420.770.672.354.977.252.878.167OK. DCD (M102)233227MaulazLM06/09/1029/12/9492PsPGmoyenne1647666678101010101081212101110101010964822210.90.20.60.80.60.60.70.80.50.60.60.60.60.50.50.50.60.50.50.50.4No0MMC19.518.820.14757.645.271OK334466MeylanMLM28/02/1628/03/9690GPAOfine, trs diffuse, avec pigmentation250365810710171114916151311111203813110.70.60.50.40.40.40.20.60.70.60.910.810.80.70.60.5Hyphema, Cat op(M7), capsulotomie(M38)DChyphaemacata op, capsulotomie11MMC16.917.117.11461.741.38472hm,OK313802MichalowskiLM03/12/4608/12/9460PsPGkystique2594514109810117510878768687584464661382010.90.50.90.90.70.710.71110.90.80.90.90.90.80.80.80.90.90.911.251.2510.80.80.8YAG (M 0.25)0YAG110.25204No13.913.98.111.610.410.96.44.49.474.578.722.736.746.151.534.610.939.775OK327315OuleveyRM11/09/2829/01/9678GPAOkystique246610101410141311138665811101214678912661203010.80.80.80.80.80.810.911110.810.70.70.70.70.8111.251.251.2510.6YAG 3x(M6,M84,M119), cyst, Bombement iris->iridotomie (M84), Cataracte (non opre)0YAG 3x, Cyst,iridotomie (bombement iris), Cata non op11136211083146119158MMC8.98.213.75.511.311.67.29.211.412.913.711.446.536.962.228.537.54021.754.553.662.833.232.380OK340175PieperLF30/09/3207/10/9674GPAOdiffuse232412121210832119.518.51521131618.518.511460272188 Stop M108143110.70.70.7110.90.80.60.80.80.70.70.80.90.90.80.60.6YAG(M12), Seidel (plastie conj M56), Cyst (M96), MMC 1x (M96)0YAG, Seidel, Cyst, MMC1111961112254MMC8.533.63.23.12.84.118.137.413.131.681OK178078PillerLF27/05/4007/09/9566GPEXkystique464121515161536101316161620201715151921161317131412111112660291123110.811111110.60.60.60.510.90.70.80.80.80.70.80.70.80.90.9YAG (M12), cataracte op (M60), compliance douteuse (M102)0YAG, cataracte op, compliance douteuse111124610No4.24.55.23.53.53.22.61.158.75.89.19.86.74.84.820.44.59.726.456.715.482OK321776PippiaLM17/01/3307/12/9473GPAObelle, bien ferme, microkyste306141112131613161012131599101199989788910888138112110.80.60.810.50.60.60.810.80.70.70.80.810.910.50.80.50.50.71110.60.60.50.5Cyst (M1), FU 5x (M1), Needling 1x (M1), YAG (M9), Cata (non opre)FUCyst, FU 5x, Needling 1xYAG, Cata (non opre)111111511192213No3.62.50.810.20.30.2-0.3-0.5-0.9-0.78.44.25.80.3252.60.33.403.184OK178612RitschardBLF02/08/1525/08/9491GPNplate15371010101010101016169696614141381010.90.6111110.80.80.90.80.71110.150.050.01No0No20.221.619.220.319.957.634.470.654.159.389OK332153SchallerRF01/06/4303/10/9663GPIGbelle, ischmique2634681081011161610109101212111010101011436232110.60.60.80.90.80.81110.80.80.80.80.80.810.60.60.8DC (M 0.25), YAG (M48), Cataracte (non opre)0YAG (M48), Cataracte (non opre)110.251148168MMC17.514.817.615.816.316.217.113386.889.990OK314205SchneebergerRF22/11/3122/09/9675GPEXplate, peu marque27281010101214161616151411710212101012111011111142415222310.90.80.90.80.90.90.80.80.80.80.80.80.80.80.90.90.90.60.50.20.60.60.60.8Cat op (M60), capsulotomie (M93)0cat op, capsulotomie1MMC99.410.610.610.210.582.466.173.892OK191236StockerRF28/07/3027/04/9576GPAOplate2174141414141616221716201814172019171619171713260110212210.50.70.60.60.60.60.60.60.60.60.60.90.40.50.60.70.60.60.80.70.60.6YAG (M62)0YAG116217?MMC17.821.121.925.728.295hm, OK255224Trian/FischeraRF15/08/4608/06/9460GPAOkystique et ischmique211091212131413141519211616199676787778788814447 Stop 7213010.60.40.40.50.50.40.50.50.50.40.40.40.40.40.40.40.50.50.50.50.50.50.50.50.40.40.40.40.10.1cyst (M60), YAG (M66)0Cyst, YAG111661912MMC13.312.413.513.714.514.18076.9111.36360.152.497OK324015VaillatRF11/06/2230/03/9584GPAOgrosse2761615121312121415181716148108151012101011121010101012648 Stop13010.90.7110.80.850.91110.40.911110.90.70.70.60.40.06Cyst (M 0.25), FU 2x (M 0.25), DELLEN (M ? ), Dystrophie cornenne (qui explique la baisse de AV)FUCyst, FU 2xDellen, dystrophie cornenne11120.25MMC1516.816.714.81411.312.51313.145.357.651.951.756.156.750.448.237.6101OK, DCD (M114)304303WeisserLF01/09/1619/02/9689GPEXischmique2233669910115661288791010510778810860232110.90.80.70.70.81110.80.80.70.80.50.7111.251.251.5111YAG (M18), cat op (M54)0YAG, Cata op11118175MMC13.911.39.59.812.7694211.125.624.6105OK336366ZollingerRF10/01/3323/05/9673GPEXprsente, petite203799128161312111010911912138101413101212120201110.8110.90.90.910.90.910.80.70.50.50.90.50.60.5YAG (M18), Cataracte (non opre)0YAG, cataracte (non opre)11118168MMC9.14.69.59.59.47.896.7149.329.2192.2191.3165.5151.4182.31324OK.Failure M54 (Re-SPIC)318123AntilleLF17/08/2110/07/9585GPEXflat24621514141620201518201715222254111329178131110.50.6110.80.80.60.60.60.40.70.70.60.15YAG (M9), Combine: cata opre + reprise SPIC (M54), YAG (M66)reprise SPICYAG, combine: reprise SPIC + phaco, YAG111192018No17.214.615.34.493.164.882.116OK, Failure M 36 ( >21att )323559BiancoRF07/01/4426/01/9562APHplate2680620161514161624243622120312110.30.40.20.20.30.20.20.20.20.20.2DC (M 0.25), YAG (M 0.25), HYPHAEMA (M 0.25), BF enkyste (M 0.5), FU 1x (M 0.5)DC, YAG, HYPHAEMA, Cyst, FU 1x1110.25110.5110.25220MMC17M.Pucker, OK Failure M24 (Reprise, Sclro-Trabculectomie), OK post Failure312408BiglerLM12/04/2306/10/9483GPEXFibrose26322512131918122321212414132111412012513613310.40.20.20.20.40.30.20.30.40.50.5Seidel, Fibrose (M1),FU 3x (M1), Needling (M1),YAG (M10), Cata Op (M13), Fibrose (M18), Trabculectomie (M24), Hyphma (M24 post Failure), DC (M24 post Failure), FU (M24 post Failure))Sclro-TrabculectomieSeidel, Fibrose, 3x FU, NeedYag, Cata op, Fibrose, Trabculectomie, Hyphma, DC, FU 1x1111111311110265164.911.51422OK. Failure M102 (Re-SPIC)292232CanoRF05/06/4129/02/9665GPAOKystique24469101010101111151519191616102141209822210.90.80.60.70.70.60.60.600.710.70.60.60.60.8Cyst (M96), Combine: cataracte snile opre + 2nd SPIC (M102), DR (M120 post Failure)2nd SPIC0Cyst, Combine:Phaco + 2nd SPIC, DR11MMC7.56.530.72224OK. Faliure M6 (Reprise, transformation en Trabculectomie)257441CaudereyRM10/07/4503/11/9461GPAOkystique, fibrotique28227101023236612051612210.40.50.30.70.70.60.5BF Fibrotique et Kystique (M6), FU 5x (M6), Need 2x (M6), Trabculectomie (M6)TrabeculectomieBF Fibrotique et Kystique, FU 5x, Need 2x, Trabculectomie11?126156MMC12.285.832OK. Failure M84 (2nd SPIC)333947DjuricLM21/04/2525/02/9681GPAOplate3635616171812151919161314148413120215129612310.70.50.50.50.70.80.90.30.40.250.150.150.150.2Seidel (M1), YAG (M46), BF plate (M84), Combine: Phaco + 2nd SPIC (M84), MMC (1x) (M 84,25), YAG (M90)2nd SPIC0SeidelYAG, BF plate, Combine: Cata op + 2nd SPIC, MMC 1x, YAG11111461915No232135OK. Faliure M84 (reprise SP T-FLUX M84)332129FavreRF16/10/3007/12/9576GPEXplate30910151415615151617143016162120293030841212030148178184111412311.51.25111110.91111110.90.90.60.50.25YAG (M6), BF plate (M66), Cata (apparition vers M72), Combine: Reprise SPIC->SP + T-FLUX avec Phaco (M84), YAG (M86), MMC 2x (M87)Reprise: SP + T-FLUX0YAG, BF plate, Combine: Reprise SPIC -> SP + T-FLUX + Cata op, YAG, MMC 2x11116226No25.219.520.82122.122.622.222.418.559.36454.464.457.768.152.941OK. Failure M1 (Fibrose de BF -> Reprise avec trabculectomie). DCD271823GourdouRM10/08/0625/08/94100PsPGfibrose de BF271220303011232010.80.80.70.6YAG (M 0.25), Fibrose (M1), Trabculectomie (M1)TrabeculectomyYAG, Fibrose, Trabculectomie1110.252018MMC11.263.445OK, Failure M90 (Reprise ancien site SPIC)337167HugFLM05/08/3601/07/9670GPAOtale2160181413111413121112121012141414141416169010120911110.70.40.40.90.90.90.80.80.80.80.80.80.80.80.80.80.80.80.80.80.9DC (M 0.25), Cyst (M1), FU 5x (M1), BF tale (M88), Yag 2x (M 64) et (M88), Reprise SPIC (M90), Cata op (M114)Reprise SPICDC, Cyst, FU 5xBF tale, Yag 2x, Reprise SPIC, Cata op1110.251511264881616No4.31.39.74.16.87.97.36.448.821.894.53971.840.868.982.348OK. Failure M6 (Reprise SPIC), 2me Failure M21 ( 2me Reprise SPIC + new SPIC), 3me Failure M81 ( Reprise), DCD328898JegerRF02/03/3302/10/9573GPIGKystique39611201818181862010211217,21336,42,66390,9633210.50.40.50.70.50.70.4Cyst (M1),FU 4x (M1), YAG (M3), Reprise SPIC (M6), DC (M6 post F), Seidel 2x (M6 post F), Cyst (M7), FU 6x (M7), YAG (M14), 2me Reprise SPIC avec new SPIC (M21), Dellen (M21 post 2me F), Cyst (M22), FU 2x (M22), YAG 3x (M22) (M78) (M79), Cata op (M42),Reprise SPIC, 2me Reprise SPIC avec new SPIC, 3me Reprise SPICCyst, FU 4xYAG, Reprise SPIC, DC, Seidel 2x, Cyst, FU 6x, YAG, 2me Reprise SPIC avec new SPIC, Dellen, Cyst, FU 2x, YAG 3x, Cata op, 3me reprise SPIC, MMC 3x1?1411132018MMC17.215.120.4102.151OK. Failure M48 (2nd SPIC)335411KapeloRM07/06/4928/03/9657GPAOkystique52379221411141620202020252548101202 Stop 4118142152, 53, 601, 1, 122110.30.80.60.50.91110.90.80.80.8Hyphma (D 1), Dellen, Fibrose (M1), FU 2x (M1), Cyst (M36), YAG (M47), 2nd SPIC (M49), MMC 1x (M50), YAG (M52)2nd SPICHyphma, Dellen, Fibrose, FU 2xCyst, YAG, 2nd SPIC, MMC 1x, YAG111112111471919MMC21.716.347.229.956OK. Failure M110 (Phaco + SP avec R-50)333955KrugerRF12/02/2528/03/9681GPNBF absente21431011121415161617151314181416161516161618181810810120842114122110.90.80.8111111111111110.7BF plate (M102), Ropration -> Combine: Phaco + SP avec R-50 (M110)Rop -> Combine: SP avec implant Ex-PRESS R-500BF plate, Combine:Phaco et SP + Ex- PRESS R 5011MMC17.414.514.4101013.515.270.486.990.479.9110.157OK. Failure M70 (Phaco + Reprise SPIC sur le mme site)338542LaagerLM30/06/3604/09/9670TRAUMAprsente mais paisse3652141418191820222322212424201313661011448 Stop 662 Stop6017117814110.70.40.40.30.711110.90.910.90.90.80.80.4Fibrose (M1), FU 1x (M1), Yag (M66), Combine: Reprise SPIC sur le mme site + Phaco avec IOL (M70), DC (M70 post Failure), Cyst (M70 post Failure), MMC (M70 post Failure)Reprise SPIC sur le mme site0Fibrose, FU 1xYAG, Combine:Phaco + Reprise SPIC, DC, Cyst, MMC1111111661010MMC2.12.71.42.72.54.39.334.5814.512.53063hm, OK, Failure M126 (Reprise SPIC)43825MarletazLF21/04/4301/11/9463GPAOplate36224678121214615191213131518201717194020202012618132114213212210.80.60.60.70.80.80.50.80.30.20.81.21110.811110.90.80.90.9Hyphma (M1), Dellen (M1), Cata op (M18), BF plate (M114), YAG 2x (M24) (M123), Reprise SPIC (M126)Reprise SPICCata Ophyphma, DellenCata op, BF plate, YAG 2x, Reprise SPIC111112242261232722MMC2.84.40.20.60.10.70.10.99.58.83.45.43.51.81.67.585OK, Failure M3 (transformation: trabculectomie). DCD M114232612RionLF30/03/1918/04/9687GPAOfibrose2181017282727361141343110.50.60.810.6Fibrose (M 0.75), YAG (M 0.75), FU 3x (M 0.75), ABSCESS (M1), TRABE (M3), Seidel (M3 post Failure), Hypotension (M3 post Failure), CA basse (M3 post Failure), DC (M3 post Failure), Cataracte, BF polykystique qui fait une dissection cornenne (M108)TrabculectomieFUYAG, Fibrose, FU 3x, AbscessTrabculectomie, Seidel, Hypotension, CA basse, DC, Cataracte, BF polykystique qui fait une dissection cornenne1131110.752418MMC9.664.993OK. Failure M111 (2nd SPIC)317326StubyRF25/05/2510/06/9681PsPGplate2026131314171715131313171817171823192119292222108141201178111414210.90.60.90.70.80.80.80.80.80.80.90.90.90.90.810.90.910.90.90.80.6BF plate (M102), YAG (M108), 2nd SPIC (M111), petit Seidel au limbe (M111 post Failure), MMC 1x (M111 post Failure)2nd SPIC0BF plate, YAG, 2nd SPIC, petit Seidel au limbe, MMC 1x1111082216MMC12.212.112.212.714.215.213.415.257.18.99.29.19.394OK. Faliure M18 (cyclophotocoagulation).DCD (Dossier du Dr. Merz dtruit)339924ThonneyRF24/06/1802/10/9688GPAOplate2941524111715202323181554121213022310.90.70.70.70.70.60.60.8Fibrose (M 0.25), FU 4x (M 0.25), YAG 2x (M1,M6), Needling 2x (M12), cyclophoto (M18), Cataracte (M24), trou maculaire avec bord surlev (M30)CyclophotocoagulationFUFibrose, FU 4x, YAG 1xYAG 1x, Needling 2x, cyclophoto, Ref G, Cata, trou maculaire avec bord surlev11212140.25121302562015No100OK, Faliure M37 (Reprise SPIC), 2me Failure M48 (2nd SPIC), 3me Failure M101 (Reprise site SPIC + pose collagne), 4me Failure M103 (Cyclophotocoagulation)332373VonRotzRF24/02/5405/02/9652GPAOIschaemic28478101081217232336912018238, 401, 184, 903, 1102210823210.10.10.10.10.10.10.05Hyphema (M1), Cata, YAG (M36), Reprise SPIC (M37), Cyst (M38), MMC 2x (M38), 2nd SPIC (M48), IRIS PROLAPSE, Cata op (M85), YAG (M90), Reprise site SPIC + pose collagne (M101), Need 1x (M101 post Failure), MMC 2x (M101 post Failure), Cyclophotocoag (M103)Reprise SPIC, 2nd SPIC, Reprise SPIC, Cyclophotocoag,0HYPHAEMACATA, YAG, Reprise SPIC, Cyst (M38), MMC 2x (M38), 2nd SPIC, IRIS PROLAPSE, Cata op, YAG, Reprise SPIC, Need 1x, MMC 2x, Cyclophotocoag,1111362327MMC25.722.925.314.732.319.2102hm, Fax. Failure M120 (Cyclophotocoagulation)183405WengerRF14/11/4710/11/9459ANIRIDEAdiffuse22410610201716171612191820171217171922283131120161324110812210.150.10.10.10.150.150.150.150.150.150.150.150.150.150.150.150.150.10.10.10.10.10.1Cyst, FU 1x (M3), Yag (M114), Cyclophotocoagulation (M120), ulcration cornenne importante probablement secondaire la Cyclo sur cell souche limbique (M115 post Failure), Allo-greffe conjonctivo-limbique (M132)Cyclophotocoag0Cyst, FU 1xYAG, Cyclo, Ulcration cornenne, Allo-greffe conjonctivo-limbique1113111142826MMC20.636.7Moyenne:76.87301587326.65079365085.41269841277.370967741911.841269841312.354838709712.836065573813.2513.617647058813.83928571431413.312513.073170731713.765957446813.234693877612.136363636412.469387755112.456521739111.97674418612.333333333312.340425531911.673913043511.861702127712.630434782612.548780487812.74390243912.166666666710.882352941210.54545454559.7510.666666666714.4841269841103.20634920632.30158730161.3809523810218141919000.80507936510.60587301590.67333333330.70031746030.72774193550.72901639340.72553571430.74313725490.74259259260.74130434780.71808510640.763750.74021739130.77777777780.69146341460.75333333330.658750.69146341460.72558139530.67466666670.70422222220.68555555560.69111111110.694250.68333333330.62766666670.71823529410.65909090910.626250.6333333333sum Fibrosesum Cystsum Platesum Etalesum Hyphsum Dellensum Catasum Hypotsum G. malinsum Siedelsum DCav. timesum Needav./patientav. timesum FUav./patientav. timesum MMCav./patientav. timesum YAGav./patientav. timeav. TO beforeav. TO afterav. timeav. TO beforeav. TO afterav. timeav. TO beforeav. TO after12.745762711911.283783783811.811.10571428579.720689655210.79.92592592599.76428571438.684615384610.05833333337.79333333335.819.445.944827586245.82555.616666666748.470967741942.911111111145.512538.0847.94837.865217391342.761904761931.084615384620.02539.7Ecart Type:11.97644470857.50947515493.19088884694.52038686495.57125789124.26997437013.69765839363.8576959684.66860603963.32361679073.78504037133.81015580183.71072933474.00115616964.69829539214.60833879723.69742050184.09176148834.08533015564.61346842514.78460663843.60896628984.05492471344.70157749253.71787048946.14727780324.90659888764.12132188964.05866077332.54950975683.05505046336.210662173138.53241564980.75423365581.15603007310.30418517820.25986122180.28772186390.28504084740.26795166770.25522999380.27460331480.2461746550.27185724050.25458121340.2443770990.25343473850.25355682360.24646490520.25517210830.27248853190.30168065560.28193581690.31873486760.33557007130.34646585090.35807919110.33112221190.30666015180.33578136160.34323695780.29753645350.28356496770.38592884240.4725815626131951743611650.2541.552032.0751196431.162790697727.715116279120.035714285711.756918.833333333315.16666666671191587.53971832536.82896256617.05364724057.02784139137.14679645077.02021570697.41902920216.79886778626.66667487187.2299447756.08293475545.326964947836.742027049733.762376464348.17730244945.548385946933.396767846139.946074537730.164452036644.887666457541.388147278937.799080361725.728124888116.0854637128YAG:av. timeav. TO beforeav. TO after34.4919.7912.1Graph:D-1D1W1M1M2M3M6M9M12M18M24M30M36M48M54M60M66M72M78M84M90M96M102M108M114M120M126M132M138M144D-1D1W1M1M2M3M6M9M12M18M24M30M36M48M54M60M66M72M78M84M90M96M102M108M114M120M126M132M138M14426.65079365085.41269841277.370967741911.841269841312.354838709712.836065573813.2513.617647058813.83928571431413.312513.073170731713.765957446813.234693877612.136363636412.469387755112.456521739111.97674418612.333333333312.340425531911.673913043511.861702127712.630434782612.548780487812.74390243912.166666666710.882352941210.54545454559.7510.66666666670.80507936510.60587301590.67333333330.70031746030.72774193550.72901639340.72553571430.74313725490.74259259260.74130434780.71808510640.763750.74021739130.77777777780.69146341460.75333333330.658750.69146341460.72558139530.67466666670.70422222220.68555555560.69111111110.694250.68333333330.62766666670.71823529410.65909090910.626250.63333333337.50947515493.19088884694.52038686495.57125789124.26997437013.69765839363.8576959684.66860603963.32361679073.78504037133.81015580183.71072933474.00115616964.69829539214.60833879723.69742050184.09176148834.08533015564.61346842514.78460663843.60896628984.05492471344.70157749253.71787048946.14727780324.90659888764.12132188964.05866077332.54950975683.05505046330.30418517820.25986122180.28772186390.28504084740.26795166770.25522999380.27460331480.2461746550.27185724050.25458121340.2443770990.25343473850.25355682360.24646490520.25517210830.27248853190.30168065560.28193581690.31873486760.33557007130.34646585090.35807919110.33112221190.30666015180.33578136160.34323695780.29753645350.28356496770.38592884240.4725815626[Microsoft JET Created Table]069071010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010medassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:FatigueInformatique:Fixation difficileInformatique:LVInformatique:LVFixation difficileInformatique:LVInformatique:LVInformatique:LVInformatique:LVInformatique:LVInformatique:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVabissig:LVabissig:Phase 1abissig:LV Phase 1abissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LV: 88.1abissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:GSabissig:GSabissig:GSabissig:GSabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVmedassist:medassist:medassist:medassist:medassist:medassist:abissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:Dcompensation cornenne cause de IOL en CAabissig:Dcompensation cornenne cause de IOL en CAabissig:Dcompensation cornenne cause de IOL en CAabissig:LVabissig:LVabissig:LVmedassist:LVmedassist:LVInformatique:LVInformatique:LVInformatique:LVInformatique:LVInformatique:LVmedassist:Fatiguemedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:Phase 1abissig:LVabissig:LV Phase 1abissig:LVabissig:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LV: 88.1abissig:LVabissig:LVabissig:LVInformatique:Fixation difficileInformatique:LVInformatique:LVFixation difficileInformatique:LVabissig:Dcompensation cornenne cause de IOL en CAabissig:Dcompensation cornenne cause de IOL en CAabissig:Dcompensation cornenne cause de IOL en CAabissig:LVabissig:LVmedassist:LVabissig:LVabissig:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:GSabissig:GSabissig:GSabissig:GSabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVmedassist:LVmedassist:LVabissig:LVmedassist:medassist:medassist:medassist:medassist:medassist:abissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVmedassist:LVmedassist:LVInformatique:LVInformatique:LVInformatique:LVInformatique:LVInformatique:LVmedassist:Fatiguemedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:Phase 1abissig:LVabissig:LV Phase 1abissig:LVabissig:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LV: 88.1abissig:LVabissig:LVabissig:LVInformatique:Fixation difficileInformatique:LVInformatique:LVFixation difficileInformatique:LVabissig:Dcompensation cornenne cause de IOL en CAabissig:Dcompensation cornenne cause de IOL en CAabissig:Dcompensation cornenne cause de IOL en CAabissig:LVabissig:LVmedassist:LVabissig:LVabissig:LVmedassist:LVabissig:LVabissig:LVmedassist:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVmedassist:medassist:medassist:medassist:medassist:medassist:abissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:GSabissig:GSabissig:GSabissig:GSabissig:LVabissig:LVabissig:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVmedassist:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVabissig:LVSmaWith treatment groupless 2118%less 1821%less 1561%GonionumberDiagnosisSheet3TimeVisual AcuitycasesNumberComplications17.7749598077.7749598073.33240829663.33240829664.22746408344.22746408345.04425494015.04425494014.3040278124.3040278123.70292899863.70292899864.02688334494.02688334494.38193449364.38193449363.6388841593.6388841593.8478253113.8478253113.66420851633.66420851633.54843279373.54843279373.72613803123.72613803124.44766862314.44766862314.09695428014.09695428013.82553229723.82553229724.32918184844.32918184844.05090558594.05090558594.67017033324.67017033324.8341482264.8341482263.52709673433.52709673433.97517581243.9751758124time (months)IOPIOP5-FuCata progencystedFibroseHyphaemaSidelC.detDellenNeedlingMalig GlhypotonycasesNumberComplications2524211399763117.50947515493.19088884694.52038686495.57125789124.26997437013.69765839363.8576959684.66860603963.32361679073.78504037133.81015580183.71072933474.00115616964.69829539214.60833879723.69742050184.09176148834.08533015564.61346842514.78460663843.60896628984.05492471344.70157749253.71787048946.14727780324.90659888764.12132188964.05866077332.54950975683.0550504633cTime (months)IOP (mmHg)Evolution of mean post-operative IOP0.30418517820.25986122180.28772186390.28504084740.26795166770.25522999380.27460331480.2461746550.27185724050.25458121340.2443770990.25343473850.25355682360.24646490520.25517210830.27248853190.30168065560.28193581690.31873486760.33557007130.34646585090.35807919110.33112221190.30666015180.33578136160.34323695780.29753645350.28356496770.38592884240.4725815626Time (months)BCVAEvolution of mean post-operative BCVASnumberIMPPoliNameEyeSexAge,DiagnosisSurgeonD-1D1W1M1M2M3M6M9M12M18M24M30M36M48M54M60M66TimeBFC

ENHANCING UVEO-SCLERAL OUTFLOW

14

IOP AFTER DEEP SCLERECTOMY

0

5

10

15

20

25

pre-op 1 D 1 W 1 M 3 M 6 M 9 M 12 M 24 M

Collagen/beltCollagen/KanHealaflow

Mean IOP of classic deep sclerectomy14 mm Hg

DS + HF 2 MONTHS

IOP: 13 mm HGIntrascleral bleb: 1No sub-conjunctival bleb: 2Important sub-choroidal space: 3Passage between IS-space & SC-space:4

1

2

3

4

25 YEARS OF DEEP SCLERECTOMY:1994-2019

(>10 000 OPERATIONS)

Excellent results when properly performed Aqueous humor resorption by 3 to 4 different

ways Lowering of postoperative complications

o Allows surgery of advanced caseso Allows surgery of early cases

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachment

07.03.2019 18

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachement

07.03.2019 19

WOUND LEAK OR SEIDEL

Stop steroids Contact lens Diamox Secondary suture

07.03.2019 20

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtration (early or late)o Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachement

07.03.2019 21

OVER FILTRATION

Autologous blood injection in the bleb

Superficial suture of the filtering bleb

Suture of the scleral flap

Tutolplast or scleral graft

07.03.2019 22

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachement

07.03.2019 23

CHOROIDAL EFFUSION

07.03.2019 24

CHOROIDAL EFFUSION

Spontaneous resolution Scopolamine Scleral window

07.03.2019 25

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachement

07.03.2019 26

Fibrosis of the TDM (Trabeculo-Descemets Membrane)

GONIOPUNCTURE

07.03.2019 27

TDM 10 YEARS AFTER DEEP SCLERECTOMY

TDM 12 YEARS AFTER DEEP SCLERECTOMY

ND:YAG GONIOPUNCTURE

Trabeculo-Descemets Membrane: gonioscopic view

MTD AFTER GPT

YAG GONIOPUNCTURE

Patients: more than 80% Mean IOP before:20 mmHg Mean IOP after: 11 mmHg Mean YAG time: 21 months

05

1015202530

Time

IOP

(mm

Hg)

YAG GONIOPUNCTURE

Patients: more than 80% Mean IOP before:20 mmHg Mean IOP after: 11 mmHg Mean YAG time: 21 months

05

1015202530

Time

IOP

(mm

Hg)

14 mm Hg 11 mm Hg

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachement

07.03.2019 36

IRIS PROLAPS

Pilocarpine followed by laser retraction Surgical retraction Iridectomy

07.03.2019 37

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachement

07.03.2019 38

BLEB FIBROSIS

Needling Mitomycin-c (MMC) injection

07.03.2019 39

Fibrosis of the filtering bleb

Needling + Subconjunctival antimetabolite injection

Mitomycin-C0.1 cc (0.2 mg/ml)

42

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachment

07.03.2019 43

FOLLOW-UP MANAGING THE COMPLICATIONS

IOP is too lowo Wound leako Over filtrationo Choroidal effusion

IOP is increasingo Fibrosis of the TDM (Trabeculo-Descemets Membrane)o Iris prolapseo Bleb fibrosis

Other complicationso Anterior chamber bleedingo Descemets detachment

07.03.2019 44

TAKE-HOME MESSAGE

Deep sclerectomy should function by itself

o If IOP is elevated 1 month or more after DS: perform first a GONIOPUNCTURE of the TDM

o If the TDM is open and IOP still elevatedPropose a needling with MMC injection

o You should NEVER if possible put the patient on anti-glaucoma medication

o Before restarting anti-glaucoma drops, refer the patient to the surgeon.

07.03.2019 45

07.03.2019 46

MCQ 1In the first post-op week after deep sclerectomy: (Aimed IOP 10-12 mm Hg)The IOP is measured at 18 mm Hg, the bleb is nice, what to do?

A: Perform a gonio puncture

B: Prescribe Timolol

C: Prescribe Diamox

D: Observe

E: Increase the steroids

07.03.2019 47

MCQ 23 months after deep sclerectomy the IOP is 4 mm HgThe vision is reduced, the bleb is big, ischemic. Some choroid folds.

A: Prescribe Scopolamine

B: Autologous blood injection

C: Prescribe steroids

D: Observe

E: Re-operate

07.03.2019 48

MCQ 36 months after deep sclerectomy the IOP is 17 mm Hg, (aim: 10-12)The bleb is scared, no medication so far

A: Prescribe Beta blocker

B: Prescribe prostaglandin

C: Prescribe combination therapy

D: Propose a needling with MMC

E: Re-operate

Post-operative Follow-up of Deep sclerectomiesDisclosuresNovartisAllerganRheon medicalDiopsisFabrinalSAVDeep CubeGlaukosStaar SurgicalSantenAlconFoliennummer 3Foliennummer 4Foliennummer 5Aim and progress of Deep Sclerectomy versus Trabeculectomy:Foliennummer 7Foliennummer 8Foliennummer 9Foliennummer 10Foliennummer 11Foliennummer 12Foliennummer 13Enhancing uveo-scleral outflowIOP after deep sclerectomyDS + HF 2 months25 years of deep sclerectomy:1994-2019(>10 000 operations)Follow-up managing the complicationsFollow-up managing the complicationsWound leak or SeidelFollow-up managing the complicationsOver filtrationFollow-up managing the complicationsChoroidal effusionChoroidal effusionFollow-up managing the complicationsFibrosis of the TDM (Trabeculo-Descemets Membrane)TDM 10 years after deep sclerectomyTDM 12 years after Deep sclerectomyNd:YAG GoniopunctureFoliennummer 31Foliennummer 32MTD after GPTYAG goniopunctureYAG goniopunctureFollow-up managing the complicationsIris prolapsFollow-up managing the complicationsBleb fibrosisFoliennummer 40Foliennummer 41Foliennummer 42Follow-up managing the complicationsFollow-up managing the complicationsTake-home messageFoliennummer 46Foliennummer 47Foliennummer 48