advertisement
Abstract #27470 Published in IGR 12-4
An illuminated microcatheter for 360-degree trabeculectomy in congenital glaucoma: A retrospective case series
Sarkisian Jr SRJournal of AAPOS 2010; 14: 412-416
Purpose: To evaluate the efficacy of achieving a 360(degrees) ab externo trabeculectomy using an illuminated ophthalmic microcatheter for the treatment of primary congenital glaucoma. Methods: This retrospective, consecutive case series included 16 eyes of 10 patients (less-than or equal to)3 years of age at the time of surgery and diagnosed with primary congenital glaucoma. All patients underwent a trabeculectomy via microcatheter with the intent of catheterizing the full circumference of Schlemm's canal and rupturing the entire canal in a single procedure. The main outcome measure was the success rate of achieving a complete 360(degrees) as compared to a partial trabeculectomy. Secondary outcome measures included intraocular pressure (IOP), glaucoma medication usage, and adverse events. Clinical examination data are reported up to 12 months postoperatively. Results: Of 16 eyes included, 12 (75%) achieved a complete 360(degrees) trabeculectomy using the microcatheter; 4 of 16 eyes (25%) achieved a partial trabeculectomy. For all treated eyes the postoperative reduction in IOP from baseline was statistically significant at the 1-, 3-, and 6-month follow-up visits (p < 0.001). At 6 months, IOP was significantly lower in the complete as compared to the partial trabeculectomy cohort (p = 0.03). Conclusions: A complete or partial trabeculectomy was safely completed in eyes with primary congenital glaucoma using a microcatheter with an illuminated, atraumatic tip. Copyright (copyright) 2010 by the American Association for Pediatric Ophthalmology and Strabismus.
S. R. Sarkisian Jr.. Department of Ophthalmology, Dean A. McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd., Oklahoma City, OK 73104, United States. Steven-Sarkisian@dmei.org
Classification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.20 Other (Part of: 12 Surgical treatment)
