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CLASS Learning Curve by Dr. Cosme Lavin Dapena
Dr Cosme Lavin-Dapena compares, in this video, CLASS and NPDS procedures and learning curve. NPDS has emerged gradually as the reference in the surgery of open angle glaucoma. Control of IOP and low rate of post-operative complications, but this surgery is difficult and requires a long learning curve.
A case of CO² laser assisted sclerotomy on a failed Xen45 patient: Performed by Dr. Mario Riquelme
CLASS (CO2 Laser-Assisted Sclerectomy Surgery) can also be beneficial following a failed XEN. Pre-op (CLASS) IOP was 33 mmHg on cosopt + Lumigan + Acetazolamide tab 250 mg x 3 / day. At 2 year follow up, the IOP was 13 mmHg under cosopt X2 / day. A prolene 6-0 spacer was used over sclerotomy and reservoir area that facilitates the drainage of the aqueous humor.
Combined CLASS PHACO with suprachoroidal esnoper implant: Performed by Dr. Nir Shoham-Hazon
The ESNOPER scleral implant is indicated for non-penetrating deep sclerectomy (NPDS) and thus far for CO2 Laser Assisted Sclerectomy Surgery (CLASS) in open-angle glaucoma surgery. The ESNOPER scleral implant, is a non-reabsorbable implant that provides a fixed, permanent intrascleral space, that facilitates the drainage of aqueous humor.
CLASS: Perfomed by Dr. Nir Shoham-Hazon
Dr. Nir Shoham Hazon of Israel’s Barzilai Medical Center in Ashkelon, describes the steps taken during a novel, non-penetrating treatment of CO2 laser-assisted sclerectomy surgery, utilizing the IOPtiMate™ system. “CLASS has proven to be a safe and simple procedure to perform, with the potential of becoming the first line of surgery”.
Combined CLASS and Phaco: Performed Dr. Nir Shoham-Hazon
Similar to Trabeculectomy, CLASS can be performed in combination with a phacoemulsification procedure. The combined procedure allows anterior segment surgeons to also be able to provide their patient with a safe and effective Glaucoma surgery option.
CLASS in Pseudophakic Eye: Performed by Prof. Edward Wylegala
Prof. Wylegala of Poland’s Medical University of Silesia in Katowice and Poland’s School of Medicine with the Division of Dentistry in Zabrze, claims that CO2 Laser Assisted Sclerectomy Surgery (CLASS), is a unique microinvasive surgical procedure that reduces IOP in open angle glaucoma patients, with a low postoperative complication rate.