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 116
- Downloads 0
A Retrospective Study of Clinical Profile of Acute Poisoning in a Tertiary Care Teaching Hospital in Kerala, India, during 2014–2016
Introduction: Most cases of poisonings reported in India were insecticides because in agricultural society they are the readily available source. Whether urbanization, literacy, and access to health care in Kerala have b...
Adult Attention Deficit Hyperactivity Disorder in Health Science Students of India
Introduction: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder, diagnosed mostly in childhood. In adults, it is estimated at 2–7%, and 4% is generally accepted. Surprisingly very less rese...
Fiber-reinforced Composite Resin Fixed Partial Denture to Restore Missing Anterior Teeth: A Case Report
Prosthetic dentistry constantly evolving as a result of innovative treatment solution based on new material, treatment technique, and technologies. The advent of fiber reinforced has further increased the potential uses...
Imaging Characteristics of Focal Liver Lesions on Contrast-Enhanced Helical Computed Tomography
Introduction: The discovery of computed tomography (CT) by G.N. Hounsfield in 1972 has been a milestone in medical diagnostic imaging as cross-sectional imaging took a step into diagnostic radiology. The use of contrast...
Role of Multidetector Computed Tomography Scan in Evaluation of Neck Mass
Introduction: Neck masses are frequently encountered in general population and hospitals. It is important to differentiate a malignant neck lesion from a benign lesion. Early and precise diagnosis helps in choosing the l...