Introduction:One of the claimed advantages of deep
sclerectomy (DS) is the reduction of office visits after surgery thanks to the
low incidence of pos-op complications. However in our previous experiences we
observed that in the first month careful monitoring of intraocular pressure
(IOP) is necessary for the best outcome of surgery. Purpose: To report
how to optimise IOP control in eyes with primary open angle-glaucoma by DS in
the first post-op month. Methods: 53 open angle-glaucoma patients with
uncontrolled IOP underwent DS without implant as a single procedure or as a part
of a combined operation. A standard post-op regimen withtopical steroids and
antibiotics was employed. A complete ophthalmologic examination was performed
post-op on days 1,7,14 and 28. Results: In the first post-op month, in 9
eyes we had to switch to non steroidal anti-inflammatory (NSAI) drugs due to
steroid-induced ocular hypertension; in 4 eyes we performed Nd:YAG
laser-goniopunctures; in 1 eye we used 5-FU; in 1 eye we prescribed a glaucoma
medication. Conclusions: DS is a safe procedure still investigated in
term of long term efficacy. A scrupulous postoperative management is mandatory
for the best outcome of surgery.