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Abstract #5475 Published in IGR 1-2
Primary combined trabeculotomy-trabeculectomy for early-onset glaucoma in Sturge-Weber syndrome
Mandal AKOphthalmology 1999; 106: 1621-1627
OBJECTIVE: To evaluate the safety and efficacy of primary combined trabeculotomy-trabeculectomy in the management of early-onset glaucoma associated with Sturge-Weber syndrome (SWS). DESIGN: Retrospective noncomparative case series. PARTICIPANTS: Ten eyes of nine patients were included in this study. All patients with SWS who underwent primary combined trabeculotomy-trabeculectomy from January 1993 through December 1996 were included. One patient had bilateral surgery. Intervention: Primary combined trabeculotomy-trabeculectomy. Main outcome measures: Pre- and postoperative intraocular pressures (IOPs), corneal clarity and diameters, visual acuities, success rate, bleb characteristics, time of surgical failure (if any), and complications. RESULTS: The mean preoperative IOP was 28.2 ? 7.35 mmHg with medication (mean, 1.2 ? 0.6; range, 0-2). The mean postoperative IOP was 11.8 ? 1.8 mmHg, with a mean percent reduction of 55.8 ? 12.6 in IOP (p<0.0001). All eyes maintained a postoperative IOP <16 mmHg without medication over a mean follow-up of 27.6 ? 16.4 months (range, 12-64 months). Normal corneal clarity was achieved in all eight eyes that had corneal edema. There were no significant intraoperative complications. Postoperatively, one patient developed a shallow anterior chamber with choroidal detachment, which was successfully managed conservatively. CONCLUSION: Primary combined trabeculotomy-trabeculectomy is safe, effective, and sufficiently predictable to be considered the first choice of surgical treatment in early-onset glaucoma associated with SWS.
A.K. Mandal, VST Centre for Glaucoma Care, L.V. Prasad Eye Institute, Hyderabad; India
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
