ArticleFrontiers in medicine2026
Reversible cupping and persistent vessel narrowing after glaucoma surgery in childhood glaucoma: a quantitative fundus photograph study.
Article in Frontiers in medicine, 2026. 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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6 authors.
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Abstract
Purpose: To investigate postoperative changes in peripapillary retinal vessel caliber and optic disc structure in childhood glaucoma. Design: Prospective, comparative cohort study with a 2-year follow-up. Methods: This study included 24 glaucomatous eyes (primary congenital or juvenile open-angle glaucoma) and 24 age-matched normal control eyes. Quantitative parameters, including vessel diameters (standardized to the vertical disc diameter), cup-to-disc ratios (CDR), rim widths, and β-zone parapapillary atrophy (PPA) morphology, were measured from standardized optic disc-centered fundus photographs using image analysis software (ImageJ). Results: Preoperatively, glaucomatous eyes demonstrated attenuated peripapillary vessel diameters, with the superior temporal vessels being significantly narrower than those in controls ( Conclusion: Successful surgery unmasks a dichotomous remodeling response: a limited, biomechanical optic cup reversal in a subset of patients, linked to rim widening and an increase in PPA regularity, coexists with a persistent and paradoxical narrowing of the large retinal vessels. This indicates that vascular alterations may constitute a maladaptive or irreversible component of glaucomatous damage in children, distinct from the partially reversible connective tissue changes.
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