Surgical Management of Congenital Glaucoma - A Long-term Clinical Study and its Outcome
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: Congenital glaucoma (CG) is more common, aggressive, and difficult to control. It results in raised intraocular pressure and diminished visual acuity in children. Many surgical procedures are described in the literature in its surgical management. Trabeculectomy in chronic simple, narrow-angle, aphakic, and secondary glaucoma is good. Its response in CG is scanty ion literature. The present study evaluates results of different procedures adopted in surgical treatment of CG. Aim: The aim of this study is to evaluate the long-term results of surgery for CG. Study Design: This is a retrospective comparative study. Materials and Methods: Children aged below 14 years with CG surgically treated by methods such as goniotomy, trabeculotomy, trabeculectomy, combined trabeculotomy - trabeculectomy, cyclocryotherapy and Nd-Yag cyclophotocoagulation from January 2010 to December 2016. Observations and Results: A total of 36.42 (85.71%) of the children were diagnosed as CG at birth. A total of 66 eyes (89.18%) were diagnosed as primary infantile glaucoma, 6 eyes (8.10%) had developmental glaucoma, and 2 eyes (2.70%) had secondary glaucoma. The mean corneal diameter 11.8±0.35 (range 9-18) mm and mean cupping 0.8 (range 0.3-1.1). The mean intraocular pressure was reduced from 27.8 ± 3.45 to 15.66 ± 1.50 mmHg. Trabeculectomy proved to be the most useful in achieving reduction in the mean intraocular pressure to 14 ± 1.0 mmHg. Conclusions: The safe surgical procedure in treating CG was primary trabeculectomy. The success rate of all surgical procedures decreased on long-term follow-up. The visual outcome was satisfactory in 78.37% of the total eyes operated with a follow-up of 5 years.
Authors and Affiliations
Lalith Sundaram
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