Resultados da associação trabeculotomia-trabeculectomia em pacientes não idosos

Passos, Angelo Ferreira; Kiefer, Kélcia; Amador, Rodrigo Carvalho

doi:10.1590/s0034-72802009000400007

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…In the present study, this comparison was conducted by the table presented in the reference (1) , with the correlation being performed between the APD (in mm) and the age (in months) in normal eyes and in the patients studied, taking into account the mean value as well as the values found in the confidence interval of 95% (1) and the values in the existing forecast line (1) . In general the treatment of congenital glaucoma is surgical (1,2,(5)(6)(7)9,(11)(12)(13)17,18) , and clinical treatment is used only as a support (1,5,17) . The first choice for clinical treatment is the eyedrops of beta-blockers and carbonic anhydrase inhibitors (5,17) , and the alpha agonist eyedrops are contraindicated (1.17).…”

Section: Discussionmentioning

confidence: 99%

“…Due to consanguinity, GCP is more frequent in isolated populations, such as in Saudi Arabia (1:2,500) (2,6) , among gypsies in Slovakia (1:1,250) (6) and among people of Andhra Pradesh, India (1:3300) (6) . The treatment for congenital glaucoma is essentially surgical (1,2,(5)(6)(7)(8)(9)(10)(11)(12) . Goniotomy is the chosen procedure whenever the degree of corneal transparency allows to realize it (1,5,6) .…”

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Epidemiological profile of patients with congenital glaucoma treated in the Hospital Regional de São José

Brink¹,

Brasil²,

Brink³

2015

Revista Brasileira De Oftalmologia

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RESUMOObjective: To outline an epidemiological profile of patients with congenital glaucoma treated in the ophthalmology service, as well as the evolution of these patients with the treatment adopted. Methods: A longitudinal, retrospective, descriptive study was undertaken in order to evaluate 32 patients with congenital glaucoma treated in the clinic, from the first consultation in which they entered the service and who attended the clinic at least two times in the period from march 1st, 2009 to february 1st, 2011. Results: There was a predominance of female patients (59.37%). In relation to the lateralization, both eyes were affected in 91% of the cases. Most patients (78.12%) presented primary congenital glaucoma. Eighty-five surgeries were performed for congenital glaucoma, 63.52% of them were submitted to trabeculotomy. The intraocular pressure measured in the first and in the last consultation diminished in 85.93% of the 64 eyes, and in relation to the mean intraocular pressure there was a decrease of 82.81% in relation to the value of the first consultation. When making the comparison of the horizontal corneal diameter of the first consultation in relation to the last one, as well as of the first consultation in relation to the average of the measurements of all consultations, in 25.42% there was an increase. Conclusion: In the patients with congenital glaucoma, there was a predominance of bilateral involvement and of female patients. Most patients presented a decrease of intraocular pressure in the last consultation in relation to the first one, and in a few patients there was an increase of horizontal corneal diameter.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Epidemiological profile of patients with congenital glaucoma treated in the Hospital Regional de São José

Brink¹,

Brasil²,

Brink³

2015

Revista Brasileira De Oftalmologia

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“…Atualmente, o tratamento é composto pelas vertentes medicamentosas e cirúrgicas. A literatura, no geral, adota o tratamento cirúrgico como primeira linha para a abordagem do Glaucoma Congênito, sendo as principais técnicas utilizadas a goniotomia e a trabeculotomia (PASSOS; KEIFER; AMADOR, 2009). Ambas consistem em seccionar o tecido mesodérmico, que impede a drenagem do humor aquoso.…”

Section: Introductionunclassified

Procedimentos Cirúrgicos Eleitos nas Condutas de uma Série de Casos de Glaucoma Congênito na Rede Pública de Campo Grande - MS

Silva¹,

Corrêa²,

Almeida³

et al. 2019

Ens. Cienc.

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A cegueira é definida como a incapacidade de captação de informações do mundo através do sentido da visão. Em recém-nascidos e crianças, o glaucoma congênito é uma das principais patologias desencadeantes da cegueira, sendo o diagnóstico precoce fundamental para orientar o tratamento e alterar o prognóstico da patologia. A literatura, no geral, traz o tratamento cirúrgico como primeira linha adotada na abordagem do Glaucoma Congênito, sendo as principais técnicas utilizadas a goniotomia e a trabeculotomia. Tendo em vista a escassez de relatos na literatura local a esse respeito, o objetivo deste artigo consiste em verificar a conduta mais prevalente em uma série de casos de Glaucoma Congênito na Rede Pública do Mato Grosso do Sul. Este estudo é do tipo descritivo, quali-quantitativo, observacional, retrospectivo, baseado em análise dos registros nos prontuários dos pacientes atendidos na rede pública de saúde de Campo Grande – MS. Dos oito casos analisados, um sofreu evisceração com colocação de prótese, dois não tiveram o nome da técnica cirúrgica relatada e os outros cinco realizaram trabeculectomia. Apesar da maioria dos casos encontrados ter sido abordada com o tratamento cirúrgico, conforme o preconizado pela literatura, o procedimento eleito na maioria dos casos, a trabeculectomia, difere daquele citado na literatura como o de primeira escolha. Palavras-chave: Glaucoma. Resultado de Tratamento. Trabeculectomia.AbstractBlindness is defined as the inability to capture information from the world through the sense of sight. In newborns and children, congenital glaucoma is one of the main causes of blindness, and early diagnosis is fundamental to guide treatment and change the prognosis of the condition. The literature adopts surgical treatment as the first line for the approach of Congenital Glaucoma, the main techniques being used for goniotomy and trabeculotomy. The objective of this article is to verify the most prevalent behavior in the series of cases of Congenital Glaucoma in the Public Network of MS, considering the scarcity in the literature, in order to evaluate if the techniques adopted in clinical practice follow what the medicine based in evidences presents as more appropriate. This is a descriptive, qualitative, observational, retrospective study, based on the records analysis in the medical patients records attended in the public health network in Campo Grande - MS. Of the eight analyzed cases, one had evisceration with prosthesis placement, two had no name of the surgical technique reported and the other five underwent trabeculectomy. Although most of the cases are treated with the surgical treatment as recommended by the literature, the procedure of first choice is the goniotomy technique. Differently from what was found in the ducts of the analyzed cases, the majority were treated with trabeculotomy. It is believed that the significant use of this technique relates to its greater ease of execution, transmitting more operational safety to the surgeons. Keywords: Glaucoma. Treatment Outcome. Trabeculectomy.

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Resultados da associação trabeculotomia-trabeculectomia em pacientes não idosos

Cited by 2 publications

References 26 publications

Epidemiological profile of patients with congenital glaucoma treated in the Hospital Regional de São José

Epidemiological profile of patients with congenital glaucoma treated in the Hospital Regional de São José

Procedimentos Cirúrgicos Eleitos nas Condutas de uma Série de Casos de Glaucoma Congênito na Rede Pública de Campo Grande - MS

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