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Abstract #8713 Published in IGR 5-1
Eye growth in children with primary congenital glaucoma after trabeculectomy
Koraszewska-Matuszewska B; Smochowiec-Donocik EKlinika Oczna 2002; 104: 211-213
PURPOSE: Evaluation of the influence of intraocular pressure (IOP) after trabeculectomy on the axial length and refraction of eyeballs in children with primary congenital glaucoma. MATERIAL AND METHODS: Thirty-six eyes of 23 children aged from seven days to 6.5 years (mean, 17.1 months) were examined. Measurements of corneal diameter, axial length, IOP, and refraction were performed before trabeculectomy and during long-term follow-up (mean, 7.9 years) after surgery. RESULTS: Horizontal corneal diameter did not change and ranged from 10-15 mm (mean, 13.22 mm). The mean value of the axial length before trabeculectomy was 22.45 mm, and 23.27 mm at the last visit. This difference was statistically significant. The axis decreased in three eyes, and remained the same in three eyes. In the other eyes, growth changed proportionally with the age of the child. IOP values were statistically lower after surgery (mean, 16 mmHg) than before treatment (mean, 35.51 mmHg). There was no correlation between IOP and axial length of the eyeballs (p = 0.69) and between IOP and refraction changes (p = 0.42) in the long-term follow-up. CONCLUSIONS: There is small influence of normalized IOP after trabeculectomy on the size of eyeballs and refraction in children with primary congenital glaucoma. The development of eyeballs, even buphthalmic ones, is proportional to age.LA: Polish
Dr. B. Koraszewska-Matuszewska, Katedry i Kliniki Okulistyki Dzieciecej Slaskiej Akademii Medycznej w Katowicach, Pland
Classification:
9.1.1 Congenital glaucoma, Buphthalmos (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)