ArticleSaudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
Long-term surgical results and comparison in childhood glaucoma.
Article in Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeComparison of visual and anatomical results according to surgery types in patients with primary congenital glaucoma (PCG), secondary childhood glaucoma, and glaucoma following cataract surgery (GFCS).
methodsThe medical records of pediatric glaucoma patients from 2005 to 2023 at the Ondokuz Mayis University Ophthalmology Clinic were retrospectively reviewed. Participants were classified as undergoing trabeculectomy (TRAB), Ahmed glaucoma valve (AGV) implant, combined TRAB and trabeculotomy (CTT); AGV implant after failed TRAB surgeries (TRAB + AGV). Enrolled patients included PCG, secondary childhood glaucoma, and GFCS groups classified according to the Congenital Glaucoma Research Network guidelines. The groups were analyzed for success rate of surgery, visual acuity (VA), corneal diameter, corneal thickness, intraocular pressure (IOP), number of medications, and refractive errors.
resultsSixty eyes of 38 patients with a mean age of 10.5 ± 6.1 years were included in the study. The final IOP was 16.9 ± 7.4, and the final VA was 0.68 ± 0.66 logMAR. The groups had similar final IOP, cup-to-disc ratio, and complications. The CTT group had the highest overall success rate at 91.7%, whereas the AGV implant group had the lowest at 50%. The final horizontal corneal diameter was 12.6-1.29 mm in the CTT group, 12.62-1.04 mm in the TRAB group (the lowest), and 13.72-0.93 mm in the AGV implant group (the highest) (
conclusionVarious procedures can achieve effective IOP control in most patients. Childhood glaucoma requires long-term close follow-up for a good visual and anatomical prognosis. Considering the success rate and visual prognosis of CTT in childhood glaucoma, it may be a good choice as first-line surgery.
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