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PubMed · 1784465

Octopus program G1X.

C Messmer·J Flammer
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Abstract

The glaucoma program G1 is widely employed by Octopus users. In addition to a specific distribution of test locations, its main advantages are the quick comparison of results with normal values and an easy follow-up. The program, however, is relatively time consuming and, therefore, tiring for some patients. For this reason, the program was modified to 'G1X'. This program is interruptable at any time and provides information, including statistical analysis based on the available data. The test sequence is rearranged in accordance with the importance of the information. The available information, including the confidence limits, is continuously calculated and presented on the screen of the Octopus 1-2-3 during the test procedure. This provides the possibility of adapting the measurement to the patients and their state of health. The principal features as well as clinical applications are described.

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BibTeXRIS

C Messmer, J Flammer. 1991. Octopus program G1X.. https://doi.org/10.1159/000310250

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Do scleral flap dimensions influence reliability of intraocular pressure control in experimental trabeculectomy?

AIM: To compare the effect on intraocular pressure (IOP) of large vs small scleral flap size during trabeculectomy using adjustable sutures. METHODS: Trabeculectomy operations were performed on nine donor human eyes connected to a constant flow infusion with real-time IOP monitoring. Large scleral flaps (4 x 4 mm, 16 mm(2), n=12) or small scleral flaps (3 x 2 mm, 6 mm(2), n=9) were constructed over 0.76 mm(2) sclerostomies. For each procedure, equilibrium IOP was measured following tight closure with two four-throw adjustable 10-0 nylon sutures. RESULTS: Five scleral flaps were thin or poorly constructed; four of these were in the initial seven procedures, implying learning effect. These had a mean absolute IOP of 7.6 mmHg (range 2.7-12.4 mmHg) and mean relative IOP of 28.3% of baseline (range 10-45.8%) after closure. In the remaining 16 good quality procedures, mean IOP was 1.3 mmHg (range 0-3.4 mmHg) after sclerostomy, confirming minimal outflow resistance before closure. Following flap closure mean IOP was 20 mmHg (SD 4.4, range 15.5-29.3 mmHg) for large (n=8), and 18.7 mmHg (SD 3.6, 15.9-25.8 mmHg) for small (n=8) flaps (unpaired t-test, P=0.26). Mean IOP (% baseline) was 71.6% (SD 8.4, range 60.6-86.6%) and 66% (SD=12.7, 46.8-86.6%) for large and small flap groups, respectively (unpaired t-test, P=0.2). CONCLUSIONS: Well-constructed scleral flaps of both sizes were able to support an average IOP at least two-thirds of baseline, and both had similar absolute IOP levels. Errors in flap construction resulted in loss of IOP control. Smaller flap size does not appear to compromise control of early postoperative IOP using adjustable sutures.

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