April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
SURGICAL RESULTS OF TRABECULOTOMY AND GONIOTOMY FOR PRIMARY CONGENITAL GLAUCOMA: DATA AFTER NEW AMBULATORY SURGICAL CENTER FACILITIES
Author Affiliations & Notes
  • Cristiana Soares Soares Ronconi
    Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil
  • Flavio Siqueira Santos Lopes
    Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil
  • Flavio E Hirai
    Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil
  • Marcia Keiko U Tabuse
    Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil
  • Ivan Maynart Tavares
    Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil
  • Christiane Rolim de Moura
    Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, Federal University of São Paulo, São Paulo, Brazil
  • Footnotes
    Commercial Relationships Cristiana Soares Ronconi, None; Flavio Lopes, None; Flavio Hirai, None; Marcia Keiko Tabuse, None; Ivan Tavares, None; Christiane Rolim de Moura, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 4499. doi:
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      Cristiana Soares Soares Ronconi, Flavio Siqueira Santos Lopes, Flavio E Hirai, Marcia Keiko U Tabuse, Ivan Maynart Tavares, Christiane Rolim de Moura; SURGICAL RESULTS OF TRABECULOTOMY AND GONIOTOMY FOR PRIMARY CONGENITAL GLAUCOMA: DATA AFTER NEW AMBULATORY SURGICAL CENTER FACILITIES. Invest. Ophthalmol. Vis. Sci. 2014;55(13):4499.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To evaluate the results of trabeculotomy and goniotomy in primary congenital glaucoma.

Methods: Charts of patients submitted to trabeculotomy or goniotomy at the Department of Ophthalmology, Federal University of São Paulo, between January 2011 and January 2013, were reviewed retrospectively. Inclusion criteria were: diagnosis of PCG, surgical indication for trabeculotomy or goniotomy and minimum postoperative follow up of 8 months. Exclusion criteria were: presence of ocular or systemic disease and/or other causes that could cause secondary glaucoma. Patients with previous ocular surgery as well those whose angular surgery was converted to filtering surgery intraoperatively (trabeculotomy-trabeculectomy) were also excluded. Data on corneal diameter, biometry, fundoscopy and measurement of the intraocular pressure were analyzed pre and postoperatively. Failure criterion was the need of filtering surgery.

Results: Among the patients who were submitted to surgery in the determined period, 21 eyes (12 patients) met the inclusion criteria. Eleven of these patients were male, and in only four of them the disease was unilateral. Of these selected eyes, 17 had trabeculotomy as the first intervention, while four had goniotomy. Five (25%) patients needed an extra angular surgery (four trabeculotomies and one goniotomy) and, at the end of follow up (mean, 17.62 months), five (25%) patients had been submitted to filtrating surgery (mitomycin-C augmented trabeculectomy).

Conclusions: Although inferior to the ones described in developed countries, the present success rate is higher than the one described 10 years ago. This improvement is credited to the implementation of new ambulatory surgical center facilities, in which patients can be submitted more frequently to under anesthesia exams, and promptly retreated when necessary. However, the delayed diagnosis and difficulty access to the public health system are still limitations for achieving higher surgical success rates.

Keywords: 556 infant vision • 757 visual development: infancy and childhood • 466 clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials  
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