Deep sclerectomy combined with trabeculectomy in pediatric glaucoma. Michael Feusier Michael Feusier Sylvain Roy Sylvain Roy André Mermoud André Mermoud Glaucoma Unit, Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland. Ophthalmology (Impact Factor: 5.56). 11/2008; 116(1):30-8. DOI: 10.1016/j.ophtha.2008.08.039 Source: PubMed ABSTRACT To evaluate the outcomes of combined deep sclerectomy and trabeculectomy (penetrating deep sclerectomy) in pediatric glaucoma. Retrospective, nonconsecutive, noncomparative, interventional case series. Children suffering from pediatric glaucoma who underwent surgery between March 1997 and October 2006 were included in this study. A primary combined deep sclerectomy and trabeculectomy was performed in 35 eyes of 28 patients. Complete examinations were performed before surgery, postoperatively at 1 and 7 days, at 1, 2, 3, 4, 6, 9, and 12 months, and then every 6 months after surgery. Surgical outcome was assessed in terms of intraocular pressure (IOP) change, additional glaucoma medication, complication rate, need for surgical revision, as well as refractive errors, best-corrected visual acuity (BCVA), and corneal clarity and diameters. The mean age before surgery was 3.6+/-4.5 years, and the mean follow-up was 3.5+/-2.9 years. The mean preoperative IOP was 31.9+/-11.5 mmHg. At the end of follow-up, the mean IOP decreased by 58.3% (P
Posted on: Thu, 20 Nov 2014 23:30:24 +0000
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