Long-term Surgical Outcomes of 180-Degree Suture Trabeculotomy in Korean Patients With Primary Congenital Glaucoma.

Abstract

PURPOSE:

To investigate the surgical outcomes of 180-degree suture trabeculotomy in Korean patients with primary congenital glaucoma (PCG).

PATIENTS AND METHODS:

This retrospective study included 21 eyes of 17 children with PCG who underwent 180-degree suture trabeculotomy as a first surgical procedure. Surgical success was defined as (1) an intraocular pressure (IOP)<22 mm Hg with or without medication; (2) no additional intraocular surgery; and (3) no evidence of progressive optic disc cupping. The main outcome measure was the success rate of 180-degree suture trabeculotomy. Secondary outcome measures were IOP, number of glaucoma medications, and occurrence of complications.

RESULTS:

Of the 21 eyes included, 18 (85.7%) were classified as having achieved success at the final visit (mean last follow-up or failure time, 54.91±45.68 mo). Median age at surgery was 11.97 months with mean IOP 29.8±9.6 mm Hg, on average of 1.52 medications. The mean IOP at the final visit was 16.9±5.6 mm Hg on an average of 0.38 medications. The surgical success rate of 180-degree suture trabeculotomy at 1, 3, and 5 years was 95.0%, 87.7%, and 78.9%, respectively (Kaplan-Meier analysis). Three eyes underwent second operations and the mean time to failure was 29.39±19.75 months. Hyphema was observed in 10 eyes, but it cleared up within 7.6 days.

CONCLUSION:

The 180-degree suture trabeculotomy performed for PCG had a significant IOP-lowering effect and caused no remarkable complications.

• Authors: Ji-Hye Park, Chungkwon Yoo, Eunjoo Yoo, Yong Yeon Kim
• Journal: Journal of glaucoma (J Glaucoma) Vol. 25 Issue 7 Pg. e681-5 (07 2016) ISSN: 1536-481X [Electronic] United States
• PMID: 26550978 (Publication Type: Journal Article)

Topics

• Child
• Child, Preschool
• Female
• Follow-Up Studies
• Glaucoma (congenital, physiopathology, surgery)
• Humans
• Infant
• Intraocular Pressure (physiology)
• Male
• Postoperative Complications (epidemiology)
• Republic of Korea (epidemiology)
• Retrospective Studies
• Suture Techniques (instrumentation)
• Sutures
• Time Factors
• Tonometry, Ocular
• Trabeculectomy (methods)
• Treatment Outcome
• Visual Acuity