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Abstract #6755 Published in IGR 4-1
Aqueous shunts for intractable glaucoma in infants
Pereira MLM; Araujo SV; Wilson RP; Azuara Blanco A; Moster MR; Schmidt CMOphthalmic Surgery and Lasers 2002; 33: 19-29
BACKGROUND AND OBJECTIVE: To evaluate the long-term outcome of aqueous shunts in the treatment of infantile glaucoma refractory to conventional treatment. PATIENTS AND METHODS: The records of all patients up to three years of age managed with aqueous shunts for uncontrolled glaucoma between November 1990 and November 1996 were retrospectively reviewed. Ten eyes of six patients were included in the study. RESULTS: The mean preoperative intraocular pressure (IOP) was 29.75 ± 4.15 (mmHg; SD), with none of the eyes on antiglaucoma medication. Postoperatively, the mean IOP was 18.25 ± 5.34 (mmHg; SD) at a mean follow up of 50 ± 25.6 (SD) months with seven eyes on topical antiglaucoma medication. At the final follow up, six eyes were considered to be successfully controlled without reintervention, two more were controlled after shunt revision, and two were considered failures. CONCLUSIONS: Aqueous shunts were relatively effective in this series of infants with recalcitrant glaucoma.
Dr. R.P. Wilson, Glaucoma Service, Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA 19107, USA
Classification:
9.1 Developmental glaucomas (Part of: 9 Clinical forms of glaucomas)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
