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Abstract #108194 Published in IGR 23-4
Combined trabeculotomy-trabeculectomy for glaucoma after congenital cataract surgery: long-term results
Bayoumi N; Khalil AK; Elsayed ENCanadian Journal of Ophthalmology 2023; 0:
OBJECTIVE: The aim of this study was to report on the long-term (>5 years) results of surgery for glaucoma after congenital cataract surgery. DESIGN: Retrospective. METHODS: A chart review was conducted of all children operated on for glaucoma after congenital cataract surgery in the Pediatric Ophthalmology Service of the Ophthalmology Department of Alexandria main University Hospital in Alexandria, Egypt, between 2005 and 2014 who completed 5 years of follow-up. Demographic, clinical, and operative data were retrieved from the medical records. Success was defined by stability and (or) reversal of optic nerve cupping in relation to presentation and, if this information was not available, by an intraocular pressure (IOP) less than the presenting IOP and less than 16 mm Hg with (true) or without (qualified) IOP-lowering therapy. RESULTS: The records of 48 children were reviewed. Thirty-two eyes of 24 children had completed at least 5 years of follow-up and were included in the study. The mean age (±SD) of the study children was 11.6 ± 11.3 months (range, 3.2-52.0 months) at presentation, and the mean (±SD) follow-up was 105.5 ± 31.4 months (range, 60-156 months). Of 47 glaucoma surgical procedures in total, combined angle and filtering surgery with antimetabolite was the most common procedure performed (n = 30;63.8%). Annual success percentages from the fifth year onward to the thirteenth year were 69.6%, 68.8%, 77.8%, 50.0%, 71.4%, 60.0%, 50.0%, 83.3%, and 50.0%, respectively. CONCLUSIONS: Surgery for glaucoma after congenital cataract surgery remains safe and successful for 13 years after surgery.
From the Department of Ophthalmology, Alexandria University Faculty of Medicine, Alexandria, Egypt. Electronic address: naderbayoumi@yahoo.com.
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