[Childhood glaucoma associated with Sturge-Weber syndrome --the efficacy of cyclofotocoagulation and other therapeutic methods].

Abstract

PURPOSE:

Sturge-Weber syndrome is a rare congenital neurooculocutaneous disorder. Ocular involvement can include glaucoma and vascular malformations of the conjunctiva, episclera, choroid and retina.

MATERIAL AND METHODS:

16 children (16 eyes) with Sturge-Weber syndrome associated with glaucoma (mean age--34 month, mean follow up 8.87 years) treated in our institution, were reviewed. In retrospective analysis were assessed: IOP and postoperative complications after diode laser cyklophotocoagulation (16 eyes), after trabeculectomy (6 eyes) and trabeculectomy with MMC (3 eyes).

RESULTS:

In ten eyes (62.5%) good result (IOP 6-22 mmHg) post cyclophotokoagulation--(3x) was recorded, as well as in 3 eyes (50%) post trabeculectomy and in 3 eyes (100%) post trabeculectomy with MMC 0.2/4 min. No postoperative complications occured in cyclophotocoagulation group. Complications after trabeculectomy were the following: 3 cases of hypotony, 4 cases with shallow anterior chamber and 5 with choroidal effusions.

CONCLUSIONS:

Diode laser cyclophotocoagulation combined with topical medication is an effective and safe treatment of glaucoma in children with Sturge-Weber syndrome.

• Authors: Beata Kocyła-Karczmarewicz, Dorota Klimczak-Slaczka, Mirosława Grałek, Barbara Chipczyńska
• Journal: Klinika oczna (Klin Oczna) Vol. 108 Issue 4-6 Pg. 180-3 ( 2006) ISSN: 0023-2157 [Print] Poland
• Vernacular Title: Jaskra w zespole Sturge-Webera u dzieci --skuteczność cyklofotokoagulacji oraz tradycyjnych metod terapeutycznych.
• PMID: 17019990 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Child
• Child, Preschool
• Female
• Filtering Surgery (methods)
• Follow-Up Studies
• Glaucoma (therapy)
• Humans
• Infant
• Intraocular Pressure
• Light Coagulation (methods)
• Male
• Postoperative Complications
• Retrospective Studies
• Sturge-Weber Syndrome (therapy)
• Trabeculectomy (methods)
• Treatment Outcome