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pharmacoeconomics (6) 15 Miscellaneous (25)

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Abstract #27609 Published in IGR 12-4

Effect of angle surgery in children with aphakic glaucoma

Yu J-N; Xiao J-H
International Journal of Ophthalmology 2010; 10: 1974-1976

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AIM: To investigate the outcome of trabeculotomy and/or goniotomy for pediatric aphakic glaucoma. METHODS: Retrospective chart review of consecutive children who had congenital cataract surgery between 1997 and 2010 and required goniotomy and/or trabeculotomy for aphakic glaucoma. Treatment success was defined as postoperative intraocular pressure (less-than or equal to)24mmHg despite topical medication use, avoidance of trabeculectomy or shunt placement, and no visually significant complications in the follow-up period. Exclusion criteria included a diagnosis of anterior segment dysgenesis, microcornea, and glaucoma at the time of cataract surgery, and follow-up less than 1 year. RESULTS: Totally 10 patients 12 eyes met inclusion criteria. Of theses, 2 eyes had goniotomy alone, 2 eyes had goniotomy followed by trabeculotomy, and 8 eyes had trabeculotomy alone. Mean IOP before angle surgery was 35 (plus or minus) 10mmHg. Mean IOP at the last recorded visit was 22 (plus or minus) 4mmHg (P = 0.0005). Treatment success was observed in 7 of the 12 eyes (58%): 5 eyes (42%) were successful after a single angle surgery, each involving an initial trabeculotomy; 2 eyes (17%) underwent subsequent shunt placement after initial goniotomy at 6 months and 1.3 years after the last angle surgery. CONCLUSION: When intraocular surgery is indicated to control IOP in pediatric aphakic glaucoma, trabeculotomy and/or goniotomy can be successful in the majority of eyes and may decrease the need for filtering and shunting procedures. LA: Chinese

J.-H. Xiao. Department of Ophthalmology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong Province, China. jianhui.xiao@qq.com

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Classification:

9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)

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