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Abstract #8126 Published in IGR 4-3
Prognosis in juvenile glaucoma after trabeculectomy
Koraszewska-Matuszewska B; Samochowiec-Donocik E; Filipek EKlinika Oczna 2002; 104: 115-118
PURPOSE: To evaluate the efficacy of trabeculectomy in patients with juvenile glaucoma on long-term follow-up. MATERIAL AND METHODS: In 22 of 37 patients, 41 trabeculectomies with basal iridectomy were performed. The age of the children ranged from six to 18 years, mean 12.4 years. In one eye of a 15-year-old boy mitomycin C was used during reoperation. The follow-up period ranged from two to 14 years, mean eight years. Patients were divided into two groups depending on the follow-up: group 1 (19 eyes) was observed for two to six years, mean 5.1 years; group 2 (18 eyes) for seven to 14 years, mean 11.1 years. In group 1, 57.9%, and in group 2, 61% of children were myopic. RESULTS: An intraocular pressure (IOP) lower or equal to 21 mmHg with no glaucoma medication was obtained in 79% of eyes in group 1 and in 66.7% of eyes in group 2. The difference was not statistically significant. In other eye, local application of beta-blockers and dorzolamid decreased IOP to values safe for the optic nerve, monitored by visual acuity and laser scanning tomography. CONCLUSIONS: Prognosis of juvenile glaucoma patients treated with trabeculectomy is satisfactory, but the effectiveness of this procedure decreases with the length of the follow-up period. LA: Polish
B. Koraszewska-Matuszewska, MD, Katedry i Kliniki Okulistyki Dzieciecej Slaskiej Akademii Medycznej, Katowicach, Poland
Classification:
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)