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Abstract #19034 Published in IGR 3-1
Trabeculectomy as the initial procedure in primary congenital glaucoma
Koraszewska-Matuszewska B; Samochowiec-Donocik E; Pieczara E; Lange EKlinika Oczna 2000; 102: 331-334
PURPOSE: To estimate the effectiveness of trabeculectomy performed in buphthalmic eyes. MATERIAL AND METHODS: Forty-two eyes of 24 children (14 boys and ten girls). There were 18 children (32 eyes) operated on between the ages of seven days and 12 months (group I) and six patients (ten eyes) between the ages of three and seven years (group II), with primary congenital glaucoma. Corneal diameter ranged from 11.5-15 mm in infants, while in ten eyes of six children older than two years, it ranged from 13-15 mm. The axial length of the eyeballs was from 19-23.5 mm. Forty-five trabeculectomies were performed, in three cases they were repeated two and six years after the first procedure. Follow-up was from one to 22 years, mean 82 months, seven years in group I, six in group II. RESULTS: In 29 of 42 eyes (64.2%), intraocular pressure (IOP) varied between 8 and 21 mmHg, the other eyes required additional local antiglaucoma treatment. Normal IOP was obtained in 95.2% of eyes. Trabeculectomy normalized IOP in 68.9% eyes of infants (group I), whereas in older children, this was 50% (group II). In the other eyes, pharmacological agents decreased IOL to values below 21 mmHg, in group I in 97% of eyes, and in group II in 90%. CONCLUSIONS: Trabeculectomy performed as a first procedure in primary congenital glaucoma is effective in infants and older children with buphthalmos after long-term follow-up. The necessity to perform this operation in very small children and even in neonates does not always mean a poor prognosis, and IOP can be stabilized at a safe level for many years. LA: Polish
Dr B Koraszewska-Matszewska, Z Kaedry i Kliniki Okulistyki Dzieciecej Slaskiej AM w Katowicach, Poland
Classification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
