ArticleClinics (Sao Paulo, Brazil)2009
Long-term surgical outcomes of primary congenital glaucoma in China.
Article in Clinics (Sao Paulo, Brazil), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- The efficacy of adjunctive mitomycin C and/or anti-VEGF agents on glaucoma tube shunt drainage device surgeries: a systematic review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024Pooled it
- Surgical interventions for primary congenital glaucoma.The Cochrane database of systematic reviews · 2020Pooled it
- Surgical interventions for primary congenital glaucoma.The Cochrane database of systematic reviews · 2015Pooled it
- The Role of Axial Length and Intraocular Pressure in the Follow-Up of Growing Children with Primary Congenital Glaucoma.Journal of clinical medicine · 2025Article
- Comparison between ocular biometry parameters in patients with unilateral congenital glaucoma.Indian journal of ophthalmology · 2023Article
- Non-penetrating deep sclerectomy versus combined trabeculotomy-trabeculectomy in primary congenital glaucoma.Medical hypothesis, discovery & innovation ophthalmology journal · 2023Article
- Primary congenital glaucoma surgery: outcomes and visual function.International ophthalmology · 2021Article
- Evaluating target intraocular pressures in primary congenital glaucoma.Indian journal of ophthalmology · 2021Article
- Ab Interno Goniotomy Combined with Ab Externo Trabeculotomy in Advanced Primary Congenital Glaucoma Patients: 2-Year Follow-Up.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Progression in pediatric glaucoma: lessons learnt from 8 years' follow-up.Medical hypothesis, discovery & innovation ophthalmology journal · 2021Article
- Surgical Outcomes in Children With Primary Congenital Glaucoma: An Eight-Year Experience.Cureus · 2020Article
- Article
- Retrospective observation on trabeculectomy of primary congenital glaucoma by applying biological amniotic membranes soaked with 5-fluorouracil.International ophthalmology · 2018Observational
- Combined trabeculotomy-trabeculectomy using the modified Safer Surgery System augmented with MMC: its long-term outcomes of glaucoma treatment in Asian children.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018Article
- Primary Congenital Glaucoma with Delayed Suprachoroidal Hemorrhage following Combined Trabeculotomy Trabeculectomy and 5-Fluorouracil.Case reports in ophthalmological medicine · 2015Article
- Outcomes of Ahmed glaucoma valve implantation in advanced primary congenital glaucoma with previous surgical failure.Clinical ophthalmology (Auckland, N.Z.) · 2015Article
- Long-term outcomes of a pseudo 360-degree trabeculotomy ab externo technique for congenital glaucoma at children's medical center.Clinical ophthalmology (Auckland, N.Z.) · 2012Article
- Surgical management of glaucoma: evolving paradigms.Indian journal of ophthalmology · 2011Review
- Review on the Management of Primary Congenital Glaucoma.Journal of current glaucoma practiceReview
- Primary congenital glaucoma: An updated review.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyReview
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the long-term outcomes of three surgical procedures for the treatment of primary congenital glaucoma (PCG).
introductionPCG is one of the main causes of blindness in children. There is a paucity of contemporary data on PCG in China.
methodsA retrospective study of 48 patients (81 eyes) with PCG who underwent primary trabeculectomy, trabeculotomy, or combined trabeculotomy and trabeculectomy (CTT).
resultsAll patients were less than 4 years (yrs) of age, with a mean age of 2.08 +/- 1.23 yrs. The mean duration of follow-up was 5.49 +/- 3.09 yrs. The difference in success rates among the three surgical procedures at 1, 3, 6 and 9 yrs was not statistically significant (p = 0.492). However, in patients with over 4 yrs of follow-up, Kaplan-Meier survival analysis revealed that the success rates of trabeculectomy and CTT declined more slowly than that of trabeculotomy. Among the patients, 66.22% acquired good vision (VA > 0.4), 17.57% acquired fair vision (VA = 0.1 - 0.3), and 16.22% acquired poor vision (VA < 0.1). The patients with good vision were mostly in the successful surgery group. Myopia was more prevalent postoperatively (p = 0.009). Reductions in the cup-disc ratio and corneal diameter were only seen in the successful surgery group (p = 0.000). In addition, the successful surgery group contained more patients that complied with a regular follow-up routine (p = 0.002). DISCUSSION: Our cases were all primary surgeries. Primary trabeculectomy was performed in many cases because no treatment was sought until an advanced stage of disease had been reached.
conclusionsIn contrast to most reports, in the present study, trabeculectomy and CTT achieved higher long-term success rates than trabeculotomy. The patients with successful surgical results had better vision. Compliance with a routine of regular follow-up may increase the chances of a successful surgical outcome.
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