PMID- 32612350 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220415 IS - 1177-5467 (Print) IS - 1177-5483 (Electronic) IS - 1177-5467 (Linking) VI - 14 DP - 2020 TI - Retinal Nerve Fibre Layer Thickness Change After CO2 Laser-Assisted Deep Sclerectomy Surgery. PG - 1749-1757 LID - 10.2147/OPTH.S247595 [doi] AB - PURPOSE: The goal of our study was to investigate changes in intraocular pressure (IOP), best-corrected visual acuity (BCVA), and retinal nerve fibre layer thickness (RNFLT) after CO2 laser-assisted deep sclerectomy (CLASS). METHODS: We carried out uncomplicated CLASS surgeries and a 12-month follow-up on 22 open-angle glaucomatous (OAG) eyes of 22 patients. IOP, BCVA, and RNFLT with spectral-domain optical coherence tomography (SD OCT) were recorded before and 1, 3, 6, 12 months after surgery. RESULTS: Mean age of patients was 68.1 years. IOP decreased from preoperative 28.45+/-5.99 SD mmHg (mean+/-standard deviation) to 15.09+/-2.40 mmHg (p=0.00039) at 12 months after surgery. BCVA-change from preoperative 0.34+/-0.38 SD (LogMAR) to 0.37+/-0.41 SD (LogMAR) was not significant (p=0.2456). RNFLT-change from preoperative 60.50+/-18.15microm to 59.63+/-17.52 microm at 12 months postoperatively was not significant (p=0.056). Qualified success rate of CLASS surgery was 72.7%, whereas complete success rate was 64% at 1 year postoperatively. CONCLUSION: Successful CLASS surgery efficiently reduced IOP. At postoperative 12 months, RNFLT and BCVA were not reduced significantly. There was no significant glaucomatous progression after surgery encountered in respect of investigated parameters. CI - (c) 2020 Sohajda et al. FAU - Sohajda, Zoltan AU - Sohajda Z AUID- ORCID: 0000-0002-5724-2866 AD - University of Debrecen, Kenezy Hospital Department of Ophthalmology, Debrecen, Hungary. FAU - Szell, Noemi AU - Szell N AD - University of Debrecen, Kenezy Hospital Department of Ophthalmology, Debrecen, Hungary. FAU - Revak, Agnes AU - Revak A AD - University of Debrecen, Kenezy Hospital Department of Ophthalmology, Debrecen, Hungary. FAU - Papp, Julia AU - Papp J AUID- ORCID: 0000-0003-0904-3923 AD - University of Debrecen, Kenezy Hospital Department of Ophthalmology, Debrecen, Hungary. FAU - Toth-Molnar, Edit AU - Toth-Molnar E AUID- ORCID: 0000-0001-7989-1616 AD - University of Szeged, Department of Ophthalmology, Szent-Gyorgyi Medical and Pharmaceutical Center, Szeged, Hungary. LA - eng PT - Journal Article DEP - 20200625 PL - New Zealand TA - Clin Ophthalmol JT - Clinical ophthalmology (Auckland, N.Z.) JID - 101321512 PMC - PMC7323794 OTO - NOTNLM OT - CLASS OT - best-corrected visual acuity OT - intraocular pressure OT - open-angle glaucoma OT - retinal nerve fiber layer thickness COIS- None of the authors declare any conflict of interest relevant to the article. EDAT- 2020/07/03 06:00 MHDA- 2020/07/03 06:01 PMCR- 2020/06/25 CRDT- 2020/07/03 06:00 PHST- 2020/02/08 00:00 [received] PHST- 2020/04/23 00:00 [accepted] PHST- 2020/07/03 06:00 [entrez] PHST- 2020/07/03 06:00 [pubmed] PHST- 2020/07/03 06:01 [medline] PHST- 2020/06/25 00:00 [pmc-release] AID - 247595 [pii] AID - 10.2147/OPTH.S247595 [doi] PST - epublish SO - Clin Ophthalmol. 2020 Jun 25;14:1749-1757. doi: 10.2147/OPTH.S247595. eCollection 2020.