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Results of trabeculotomy and guarded filtration procedure for glaucoma associated with Sturge-Weber syndrome.

AbstractPURPOSE:
To assess the efficacy of trabeculotomy and guarded filtration procedure in the management of glaucoma associated with the Sturge-Weber syndrome.
METHODS:
Six patients (seven eyes) with Sturge-Weber syndrome who underwent glaucoma surgery were retrospectively reviewed. One patient had bilateral glaucoma. Age at the time of operation ranged between 23 days and 9 years. The mean preoperative intraocular pressure was 30.6 mmHg (range 25-38 mmHg). Trabeculotomy and guarded filtration procedure were performed in three eyes each and both techniques were used in one eye.
RESULTS:
The mean follow-up was 6.3 (range 2-11) years. A single procedure lowered the intraocular pressure and arrested the progression of the disease in five eyes. Two patients required topical antiglaucoma medication. No patient needed reoperation. Two eyes suffered intra- and post-operative temporary choroidal effusions.
CONCLUSIONS:
Trabeculotomy in infancy and guarded filtration procedure in older children effectively stabilized the eyes and prevented further glaucomatous damage in our patients with Sturge-Weber syndrome.
AuthorsM Irkeç, H Kiratli, S Bilgiç
JournalEuropean journal of ophthalmology (Eur J Ophthalmol) 1999 Apr-Jun Vol. 9 Issue 2 Pg. 99-102 ISSN: 1120-6721 [Print] United States
PMID10435421 (Publication Type: Journal Article)
Topics
  • Child
  • Child, Preschool
  • Filtering Surgery
  • Follow-Up Studies
  • Glaucoma (etiology, surgery)
  • Humans
  • Infant
  • Infant, Newborn
  • Intraocular Pressure
  • Retrospective Studies
  • Sturge-Weber Syndrome (complications)
  • Trabeculectomy
  • Treatment Outcome
  • Visual Acuity

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