S. Roy et al., Analysis of the aqueous humor filtration according to the type of implantsafter deep sclerectomy in the rabbit, KLIN MONATS, 218(5), 2001, pp. 354-359
Purpose: The purpose of this study was to compare the aqueous humor outflow
using three type of implants after deep sclerectomy. A numeric imaging sys
tem with ICG and fluorescein angiography was used. The evolution over time
was recorded, while filtration and outflow facility were measured.
Material and Methods: Numeric imaging system with ICG and fluorescein angio
graphy were performed before and after deep sclerectomy at regular interval
s after surgery. Both resorbable (collagen) and non-resorbable (hema) intra
scleral devices have been tested in eight rabbits. The resorbtion time of t
he collagen implants has been monitored using UBM technique. The outflow fa
cility was measured with the technique of anterior chamber canulation and c
onstant pressure method.
Results: The resorbable collagen implants could be observed with UBM and an
giography during the first six weeks postoperatively. The image of the non-
resorbable Hema implant remained clearly visible over time. New drainage ve
ssels were observed around the filtering bleb. The filtration significantly
increased as the outflow facility improved after surgery, while the intrao
cular pressure remained stable over time.
Conclusion: This conjunction of UBM, angiography and outflow measurement al
lowed us to study and compare three types of implants used as space maintai
ner after deep sclerectomy, and analyse their effect on the aqueous filtrat
ion and outflow facility.