TY - JOUR
T1 - Outcome of angle surgery in children with aphakic glaucoma
AU - Bothun, Erick D.
AU - Guo, Yan
AU - Christiansen, Stephen P.
AU - Summers, C. Gail
AU - Anderson, Jill S.
AU - Wright, Martha M.
AU - Kramarevsky, Natalia Y.
AU - Lawrence, Mary G.
N1 - Funding Information:
Supported, in part, by an unrestricted Departmental grant from Research to Prevent Blindness, Inc. , New York, NY.
Copyright:
Copyright 2011 Elsevier B.V., All rights reserved.
PY - 2010/6
Y1 - 2010/6
N2 - Purpose: To investigate the outcome of trabeculotomy and/or goniotomy for pediatric aphakic glaucoma. Methods: Retrospective chart review of consecutive children who had congenital cataract surgery between 1990 and 2006 and required goniotomy and/or trabeculotomy for aphakic glaucoma. Treatment success was defined as postoperative intraocular pressure of ≤24 mm Hg despite topical medication use, avoidance of trabeculectomy or shunt placement, and no visually significant complications in the follow-up period. Exclusion criteria included a diagnosis of anterior segment dysgenesis, microcornea, and glaucoma at the time of cataract surgery, and follow-up less than 1 year. Results: A total of 14 eyes of 11 patients met inclusion criteria, with a mean follow-up of 4.7 years. Of theses, 2 eyes had goniotomy alone, 3 eyes had goniotomy followed by trabeculotomy, and 9 eyes had trabeculotomy alone. Mean IOP before angle surgery was 35 ± 10 mm Hg. Mean IOP at the last recorded visit was 22 ± 4 mm Hg (p = 0.0005). Treatment success was observed in 8 of the 14 eyes (57.1%), with a mean number of angle procedures of 1.4 per eye: 6 eyes (42.8%) were successful after a single angle surgery, each involving an initial trabeculotomy; 3 eyes (21.4%) underwent subsequent shunt placement after initial goniotomy at 6 months, 1.3 years, and 5.5 years after the last angle surgery. Conclusions: When intraocular surgery is indicated to control IOP in pediatric aphakic glaucoma, trabeculotomy and/or goniotomy can be successful in the majority of eyes and may decrease the need for filtering and shunting procedures.
AB - Purpose: To investigate the outcome of trabeculotomy and/or goniotomy for pediatric aphakic glaucoma. Methods: Retrospective chart review of consecutive children who had congenital cataract surgery between 1990 and 2006 and required goniotomy and/or trabeculotomy for aphakic glaucoma. Treatment success was defined as postoperative intraocular pressure of ≤24 mm Hg despite topical medication use, avoidance of trabeculectomy or shunt placement, and no visually significant complications in the follow-up period. Exclusion criteria included a diagnosis of anterior segment dysgenesis, microcornea, and glaucoma at the time of cataract surgery, and follow-up less than 1 year. Results: A total of 14 eyes of 11 patients met inclusion criteria, with a mean follow-up of 4.7 years. Of theses, 2 eyes had goniotomy alone, 3 eyes had goniotomy followed by trabeculotomy, and 9 eyes had trabeculotomy alone. Mean IOP before angle surgery was 35 ± 10 mm Hg. Mean IOP at the last recorded visit was 22 ± 4 mm Hg (p = 0.0005). Treatment success was observed in 8 of the 14 eyes (57.1%), with a mean number of angle procedures of 1.4 per eye: 6 eyes (42.8%) were successful after a single angle surgery, each involving an initial trabeculotomy; 3 eyes (21.4%) underwent subsequent shunt placement after initial goniotomy at 6 months, 1.3 years, and 5.5 years after the last angle surgery. Conclusions: When intraocular surgery is indicated to control IOP in pediatric aphakic glaucoma, trabeculotomy and/or goniotomy can be successful in the majority of eyes and may decrease the need for filtering and shunting procedures.
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U2 - 10.1016/j.jaapos.2010.01.005
DO - 10.1016/j.jaapos.2010.01.005
M3 - Article
C2 - 20226703
AN - SCOPUS:77955338362
SN - 1091-8531
VL - 14
SP - 235
EP - 239
JO - Journal of AAPOS
JF - Journal of AAPOS
IS - 3
ER -