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Authors: Hoffmann, Esther M.
Aghayeva, Fidan
Schuster, Alexander K.
Pfeiffer, Norbert
Karsten, Mona
Schweiger, Susann
Pirlich, Nina
Wagner, Felix M.
Chronopoulos, Panagiotis
Grehn, Franz
Title: Results of childhood glaucoma surgery over a long-term period
Online publication date: 12-Sep-2022
Year of first publication: 2022
Language: english
Abstract: Purpose To evaluate long-term results of glaucoma surgery in newborn and infants with glaucoma. Methods Seventy-nine eyes of 52 children (age: 3 weeks–15.3 years) with primary congenital or secondary glaucoma treated between 2015 and 2017 were included. The median follow-up time was 3.9 years. Conventional probe trabeculotomy, 360° catheter-assisted trabeculotomy, filtering and cyclodestructive surgery were compared. Strict criteria for surgical success were applied: Complete surgical success (IOP below target IOP, no further surgery) and incomplete surgical success (additional surgery allowed) were analyzed, and IOP at baseline and last follow-up was compared. Results Intraocular pressure (IOP) was significantly reduced in primary congenital (preoperative IOP: 27.8 ± 7.5 mmHg vs. postoperative IOP: 14.2 ± 4.5 mmHg) and secondary glaucoma (preoperative IOP: 29.2 ± 9.1 mmHg vs. postoperative IOP: 16.6 ± 4.7 mmHg). 90% of all eyes reached target IOP with or without medication allowing for additional surgeries. As first surgery, 360° catheter-assisted trabeculotomy had a tendency to higher surgical success than other surgical approaches, while cyclodestructive procedures had lowest. Conclusions We found very promising surgical results in our childhood glaucoma patient group. Surgical success in both congenital and secondary glaucoma was high.
DDC: 610 Medizin
610 Medical sciences
Institution: Johannes Gutenberg-Universität Mainz
Department: FB 04 Medizin
Place: Mainz
Version: Published version
Publication type: Zeitschriftenaufsatz
License: CC BY-NC-ND
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Journal: Acta ophthalmologica
Pages or article number: e448
Publisher: Blackwell
Publisher place: Oxford
Issue date: 2022
ISSN: 1755-3768
Publisher DOI: 10.1111/aos.14985
Appears in collections:JGU-Publikationen

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