Combined trabeculotomy and trabeculectomy: outcome for primary congenital glaucoma in a West African population

Response to Dr Rao

“…Patients affected by BDUMP have a short life expectancy. 2 We, however, report a case of BDUMP, which illustrates that long-term survival can occur despite multiple metastases.…”

“…The authors have correctly pointed out that their poor 1 year success of 44% may be due to severe disease at presentation, racial and genetic influences, and also non-use of mitomycin-C. [2][3][4] Yet, it was surprising that 63% of the children had diffuse avascular blebs, which raises the question of how many persons graded the blebs and evaluated the patients postoperatively. The authors state that three patients had normal intraocular pressure (IOP); one on medication and two others with IOP taken under anesthesia.…”

“…1 Congenital glaucoma is a clinical challenge for any ophthalmologist, and requires a long-term commitment toward these patients with extended care for rehabilitating these children. 2,3 Hence, this article holds importance in serving as a baseline for the entire West African region, which is important to decide management strategies to cope with childhood blindness in that place.…”

Childhood glaucoma surgery in the 21st Century

“…There are many barriers to care when looking after children with glaucoma in addition to the usual challenges. [132][133][134][135] Most of the glaucoma surgeries require microscopic surgical expertise and specialised equipment and as most new technologies have first world markets in their sights, less affluent and developed countries do not always enjoy their benefits. Addressing the gulf between the developed and developing world health care provision should be an aim of any surgical specialty in the 21st century.…”

Congenital glaucoma: still a clinical challenge

“…1 Congenital glaucoma is a clinical challenge for any ophthalmologist, and requires a long-term commitment toward these patients with extended care for rehabilitating these children. 2,3 Hence, this article holds importance in serving as a baseline for the entire West African region, which is important to decide management strategies to cope with childhood blindness in that place.…”