ArticleArquivos brasileiros de oftalmologia2025
360° trabeculotomy ab externo with double access for the treatment of congenital glaucoma.
Article in Arquivos brasileiros de oftalmologia, 2025. 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
purposeThis study aims to describe the technique, feasibility, efficacy, and safety of 360° trabeculotomy ab externo with double access for the treatment of congenital glaucoma.
methodsThis paper provides a detailed description of the 360° trabeculotomy ab externo with double access used to treat pediatric glaucoma. The postoperative outcomes of six eyes from six patients who underwent this procedure for primary and secondary congenital glaucoma are also reported.
resultsSix eyes from six patients were included in this study. The median age of the patients at the time of surgery was 1.25 yr (range: 0.27-5.41 yr). The mean preoperative intraocular pressure was 25 ± 5.87 mmHg (range: 18-35 mmHg). At baseline, the mean number of hypotensive eye drop medications used was 2 ± 0.63. Postoperatively, the mean intraocular pressure decreased to 10 ± 2.20 mmHg (range: 9-14 mmHg), and none of the patients required hypotensive eye drops. The most common postoperative complication was hyphema, observed in one case on the first postoperative day; however, it resolved within 7 days.
conclusionsThe 360° trabeculotomy ab externo with double access is a valuable addition to the surgical options for pediatric glaucoma. This technique facilitates a complete 360° ab externo opening of the trabecular meshwork while enhancing surgical safety.
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