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
Keywords
Related Articles
- EP ID EP469328
- DOI -
- Views 98
- Downloads 0
Superior and Inferior Lens Subluxation in a Patient of Marfan Syndrome: A Rare Case Presentation
Marfan syndrome (MFS) is a spectrum of disorders caused by a heritable genetic defect of connective tissue involving the musculoskeletal, cardiac, and ocular system predominately. The defect itself has been isolated to t...
A Clinical Analysis of Facial Nerve Paralysis due to Inflammatory Diseases of the Middle Ear and the Role of Early Decompression
Background: Facial nerve (FN) paralysis is one of the most common intratemporal complications of inflammatory diseases of the middle ear. The pathology of FN paralysis in inflammatory diseases of the middle ear is an ero...
A Rare Case of Leiomyosarcoma with Hemoperitoneum in Pregnancy
Uterine leiomyosarcoma during pregnancy is an extremely rare event. We report a retrospectively diagnosed case of a ruptured primary uterine leiomyosarcoma with hemoperitoneum diagnosed during pregnancy. The patient came...
Ophthalmic Involvement in Rheumatoid Arthritis: A review
Ophthalmic involvement in rheumatoid arthritis (RA) can be mild discomforting as in dryness of eyes/redness as a part of secondary sjogren or episcleritis, or it may even evolve into the cause of serious discomfort and v...
Comparative Evaluation of Marginal Microleakage of Conventional Fissure Sealants and Self-adhering Flowable Composites as Fissure Sealant in Permanent Teeth - An In Vitro Study
Background: Sealant therapy is the safe and effective way to prevent dental caries in newly erupted teeth. Success of sealant therapy depends on the good isolation, patient corporation and the decrease step for the appli...