Abstract | PURPOSE: PATIENTS AND METHODS: Two children with Weill-Marchesani syndrome (4 eyes) undergoing lensectomy, anterior vitrectomy, and sutured intraocular lens (IOL) and Molteno tube shunt surgery at Wills Eye Hospital were prospectively studied. Visual acuity and intraocular pressure (IOP) were recorded. RESULTS: Both patients presented with increasing myopia and advanced glaucomatous damage. Laser iridotomy was ineffective in deepening the anterior chamber. The first patient developed a flat anterior chamber after trabeculectomy. At the 12-month follow-up visit, all 4 eyes had an important decrease in IOP and cupping after combined lensectomy, anterior vitrectomy, and sutured IOL and Molteno tube shunt placement. One eye had a transitory postoperative choroidal effusion and retinal detachment that resolved spontaneously. CONCLUSIONS:
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Authors | Paul Harasymowycz, Richard Wilson |
Journal | Journal of pediatric ophthalmology and strabismus
(J Pediatr Ophthalmol Strabismus)
2004 Sep-Oct
Vol. 41
Issue 5
Pg. 295-9
ISSN: 0191-3913 [Print] United States |
PMID | 15478742
(Publication Type: Case Reports, Journal Article)
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Topics |
- Abnormalities, Multiple
(surgery)
- Child
- Chronic Disease
- Eye Abnormalities
(surgery)
- Glaucoma, Angle-Closure
(surgery)
- Humans
- Intraocular Pressure
- Lens Implantation, Intraocular
- Lens, Crystalline
(abnormalities, surgery)
- Male
- Molteno Implants
- Myopia
(genetics)
- Prospective Studies
- Prosthesis Implantation
- Syndrome
- Visual Acuity
- Vitrectomy
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