{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:33:31Z","timestamp":1777581211591,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,2,17]],"date-time":"2019-02-17T00:00:00Z","timestamp":1550361600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the outcomes of a new antiglaucoma surgical method, a modification of the standard deep sclerectomy, the penetrating deep sclerectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Patients with medically uncontrolled primary open-angle glaucoma or pseudoexfoliative glaucoma were prospectively, in a consecutive way, enrolled in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study was conducted in Glaucoma Unit, Department of Ophthalmology, University of Hospital of Alexandroupolis, Greece, in 29 eyes of 29 patients. In a fornix-based surgical procedure, all eyes underwent the proposed penetrating deep sclerectomy (deep sclerectomy plus trabeculectomy) with the use of mitomycin C applied intraoperatively (0.2\u2009mg\/mL for 2\u2009min). The follow-up period was 3\u2009years. Ocular examination was conducted before the operation and at 1, 3, 6, 12, 18, 24, and 36\u2009months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average reduction in intraocular pressure at the end of follow-up was 11.24 (57.88%). The complete success rate (intraocular pressure \u2a7d21\u2009mm\u2009Hg without medication) after 3\u2009years was 58.6%. The qualified success rate (intraocular pressure \u2a7d21\u2009mm\u2009Hg without or with medication) was 75.86%. Postoperatively, the mean number of medication dropped from 3.75\u2009\u00b1\u20090.89 to 0.89\u2009\u00b1\u20090.98. Low postoperative complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>During the 3-year follow-up period, penetrating deep sclerectomy presented very positive outcome. The addition of a controlled perforation of the trabeculo-Descemet\u2019s membrane in deep sclerectomy, playing the role of an early goniopuncture, seems to ensure a satisfactory outcome and is not associated with additional complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672119827768","type":"journal-article","created":{"date-parts":[[2019,2,18]],"date-time":"2019-02-18T00:11:50Z","timestamp":1550448710000},"page":"264-268","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Penetrating deep sclerectomy in primary open-angle and pseudoexfoliative glaucoma"],"prefix":"10.1177","volume":"30","author":[{"given":"Vassilios","family":"Kozobolis","sequence":"first","affiliation":[{"name":"Eye Clinic, University Hospital of Evros, Alexandroupolis, Greece"},{"name":"Eye Institute of Thrace, Democritus University of Thrace, Alexandroupolis, 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