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Alejandra Hernandez-Oteyza, Antonio Remolina, Cristina Isida Llerandi, Hector Bello Lopez Portillo, Jesus Jimenez-Roman; Surgical Outcomes in Patients with Primary Congenital Glaucoma. Invest. Ophthalmol. Vis. Sci. 2014;55(13):4317.
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To evaluate the surgical results of Primary Congenital Glaucoma at our hospital, and to identify how many procedures are needed to control this disease’s progression. Hypothesis: Patients with Primary Congenital Glaucoma require more than one surgical procedure to achieve intraocular pressure (IOP) control
We reviewed the files of all patients with Primary Congenital Glaucoma that attended the Glaucoma Service at the Asociación para Evitar la Ceguera en México, from April 1997 to January 2012, and identified which surgical procedures were performed, how many surgeries were needed, and the results of each technique, as reflected on the IOP control.
We reviewed the files of 80 patients (160 eyes); 48 patients were males and 32 females, with a mean age at diagnosis of 9.9 months (range 3 days to 108 months). At the time of diagnosis the mean IOP was 21.68 mmHg. One hundred and twenty three eyes required surgical management. Goniotomy was the most common initial procedure (73 eyes) followed by trabeculectomy (34 eyes), trabeculo-trabeculectomy (7 eyes) and Ahmed Valve implant (5 eyes). In total, 249 procedures in 123 eyes were done (2.02 procedures per eye). The mean follow-up period was 34.95 months (1 month to 114 months). The mean final IOP was 16.3 mmHg.
Goniotomy is the most common procedure made in patients with Primary Congenital Glaucoma. Most patients require more than one surgical procedure to obtain an adequate IOP and attempt to control the disease’s progression.
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