Spurectomy: A novel modification of non-penetrating deep sclerectomy

Abstract

Abstract Purpose To evaluate the outcomes of a novel modification of the non-penetrating deep sclerectomy (NPDS) approach for glaucoma management called spurectomy. Methods Observational comparative non-randomized retrospective study including 98 glaucomatous eyes of 76 patients operated on with the spurectomy technique consisting of the combination of the excision of the scleral spur with NPDS (group A). A control group (group B) including 53 glaucomatous eyes of 43 patients operated on with classical NPDS was also included. Changes in intraocular pressure (IOP) and medications required as well as complications were recorded in a 12-month follow-up. Results Mean IOP decreased from 25.69\u202f±\u202f8.11 preoperatively to 15.73\u202f±\u202f4.16\u202fmm Hg postoperatively in group A (p\u202f Conclusions Spurectomy is a safe and effective technique when compared with conventional NPDS and seems a promising alternative in the surgical management of glaucoma, optimizing the efficacy of the treatment and minimizing complications.