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[Trabeculotomy as first-line surgical treatment in pediatric glaucoma: surgical and visual outcomes from a 7-year retrospective study]. / Trabéculotomie de première intention dans le glaucome de l'enfant: devenir chirurgical et visuel sur une étude rétrospective de 7 ans.
Martin, E; Le Meur, G; Orignac, I; Weber, M; Lebranchu, P; Péchereau, A.
Afiliación
  • Martin E; CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France. Electronic address: elodiemartin85@hotmail.fr.
  • Le Meur G; CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
  • Orignac I; CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
  • Weber M; CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
  • Lebranchu P; CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
  • Péchereau A; CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
J Fr Ophtalmol ; 37(9): 707-16, 2014 Nov.
Article en Fr | MEDLINE | ID: mdl-25199573
INTRODUCTION: Intraocular pressure and visual outcomes in primary pediatric glaucoma treated with trabeculotomy. MATERIALS ET METHODS: All children undergoing trabeculotomy as first-line surgical treatment between January 2002 and January 2012 were included in a retrospective monocentric study. We report initial clinical features, surgical complications, ophthalmological outcome and clinical progression. RESULTS: Twenty-nine eyes of 16 children met the inclusion criteria and were treated with trabeculotomy as first-line treatment (mean age: 6 months). Median follow-up was 7 years. No major perioperative complications occurred, but minor complications were observed in 11 eyes. Mean pre-operative and initial post-operative intraocular pressures were 25.4 and 9.1mmHg respectively, thus a decrease of 16.3 points (63%). Overall surgical success rate was 89% at first follow-up, 72% at one year and 64% on last follow-up. A mean intraocular pressure of 15mmHg on no medications was achieved for two-thirds of eyes. After 7 years of follow-up, over 50% of eyes did not require a 2nd surgery. Visual acuity was at least 20/30 for 62% of eyes (83% for eyes requiring only trabeculotomy). DISCUSSION AND CONCLUSION: Trabeculotomy as first-line treatment of primary juvenile glaucoma is a safe and effective surgery in about two-thirds of cases. It allows pressure control and satisfactory visual outcome in the majority of children.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trabeculectomía / Glaucoma Tipo de estudio: Observational_studies / Prognostic_studies Límite: Child / Child, preschool / Humans / Infant Idioma: Fr Revista: J Fr Ophtalmol Año: 2014 Tipo del documento: Article Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trabeculectomía / Glaucoma Tipo de estudio: Observational_studies / Prognostic_studies Límite: Child / Child, preschool / Humans / Infant Idioma: Fr Revista: J Fr Ophtalmol Año: 2014 Tipo del documento: Article Pais de publicación: Francia