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Abstract #90329 Published in IGR 21-3
Successful needling of previous failed deep-sclerectomy in a child with primary congenital glaucoma
Dibaji M; Al Harbi A; Malik RAmerican journal of ophthalmology case reports 2020; 19: 100795
PURPOSE: To illustrate the successful of needling with subconjunctival antimetabolite in failed deep-sclerectomy (DS) in congenital glaucoma. To the best of our knowledge, this is the first report of successful needling of DS in a child with congenital glaucoma. OBSERVATIONS: A 14-year-old boy with unilateral congenital glaucoma in the right eye underwent goniotomy followed by DS two-years ago with no improvement. Upon pre-operative examination, visual acuity was (20/200) improved with pinhole (20/70). The intraocular pressure was 28 mmHg. Under slit lamp, there was a scarred bleb, large clear buphthalmic cornea and 0.9 cup-to-disc ratio in the right eye. The patient was scheduled for needling of failed DS with subconjunctival antimetabolite for right eye under general anesthesia. One year post-operatively, the child maintains best corrected visual acuity of 20/70 with and intraocular pressure of 15 mmHg without the need for glaucoma drops. CONCLUSIONS AND IMPORTANCE: Needling of failed DS may be a viable option in childhood glaucoma for maintaining IOP and preserving the other conjunctival quadrants for future glaucoma surgeries.
Glaucoma Division, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia.
Full articleClassification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)