Successful needling of previous failed deep-sclerectomy in a child with primary congenital glaucoma

Dibaji, Mohammed; Harbi, Amjad Al; Malik, Rizwan

doi:10.1016/j.ajoc.2020.100795

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…It is possible that angle surgery combined with filtration surgery may give the most optimal IOP-lowering in these eyes ( 36 ). In our personal experience, it seems that NPDS, which can be easily combined with trabeculotomy ( 37 ) offers a good surgical option, but much work is needed on establishing the ideal procedure for these eyes. Most of the surgeries performed in our sample were NPDS and it may be argued that the findings are not applicable to other populations.…”

Section: Discussionmentioning

confidence: 99%

Axial Length Changes Following Surgical Intervention in Children With Primary Congenital Glaucoma

Dalgan¹,

Obaida²,

Owaifeer³

et al. 2021

Front. Ophthalmol.

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BackgroundPrimary congenital glaucoma (PCG) is a challenging condition to diagnose, treat and effectively monitor. Serial assessment of intraocular pressure (IOP), optic disc cupping, refraction, and axial length (AxL) after surgery are useful to assess disease control. This study aimed to evaluate AxL changes in relation to IOP changes following glaucoma surgery in children with PCG.MethodsWe retrospectively studied AxL changes in children with PCG undergoing surgery. Eyes of children aged ≤ 4 years that did not have prior ocular surgery and that underwent at least one glaucoma surgery during the course of follow-up between June 2014 and July 2018, were included. The effect of change in IOP on change in AxL was estimated using linear mixed effects models.ResultsA total of 105 eyes (of 72 children) with PCG underwent glaucoma surgery representing 26.4% (105/397) eyes. The mean ± SD age of children at baseline was 3.53 ± 4.04 months. At baseline, the mean IOP and AxL were 26.63 ± 9.57 mmHg and 21.67 ± 1.82 mm, respectively. During the course of follow-up post-surgery, the IOP decreased by a mean of 7.25 ± 12.08 mmHg while the AxL increased by a mean of 0.70 ± 1.40 mm. A multivariable mixed effects linear regression revealed that change in AxL was significantly associated with change in IOP (p=0.030) and time since first surgery (p<0.001). A substantial reduction in IOP (≥35 mmHg) was needed at 3 months post-surgery, for AxL to regress.ConclusionIn children with PCG who undergo glaucoma surgery, change in IOP significantly influences change in AxL. For AxL to regress, a substantial reduction in IOP is needed post-surgery.

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Section: Discussionmentioning

confidence: 99%

Axial Length Changes Following Surgical Intervention in Children With Primary Congenital Glaucoma

Dalgan¹,

Obaida²,

Owaifeer³

et al. 2021

Front. Ophthalmol.

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“…NPDS has good results with needling in the slit lamp if the patient is old enough and able to cooperate. 38,40…”

Section: Combined Trabeculotomy-trabeculectomymentioning

confidence: 99%

Treatment of Pediatric Glaucoma

Bitrian

2023

International Ophthalmology Clinics

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“…NPDS allows aqueous filtration from the anterior chamber to the subconjunctival space through a thin trabeculodescemetic membrane, avoiding the sudden intraocular pressure (IOP) drop and thus lowering the incidence of post-operative complications associated with trabeculectomy and glaucoma tube surgeries [5,6]. For example, lens injury, inflammation, iris trauma, sudden hypotony, choroidal detachment, flat anterior chamber, hyphema, cataract, and endophthalmitis are all possible complications that may happen with penetrating surgeries [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Uncommon Complication Post-deep Sclerectomy: Giant Retinal Tear

Felemban,

Alshehri,

Aljahdali

et al. 2024

Cureus

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Glaucoma is a prevalent neurodegenerative disease. It causes progressive visual loss and is one of the most common causes of blindness worldwide. It can be categorized into open-angle or closed-angle glaucoma. Primary congenital glaucoma (PCG) is a subdivision of open-angle glaucoma. Non-penetrating deep sclerectomy (NPDS) is a surgical method for managing open-angle and primary congenital glaucoma, which was first introduced in 1990. During NPDS, a sclera flap is raised but not completely removed, and the outer part of Schlemm's canal and trabecular meshwork, along with the juxtacanalicular tissue, are excised without completely penetrating the eye. Therefore, it is considered a safe and efficient option for controlling intraocular pressure. This report shows a unique case of uncommon complication post-deep sclerectomy, a giant retinal tear, after undergoing non-penetrating deep sclerectomy for primary congenital glaucoma.

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Successful needling of previous failed deep-sclerectomy in a child with primary congenital glaucoma

Cited by 3 publications

References 18 publications

Axial Length Changes Following Surgical Intervention in Children With Primary Congenital Glaucoma

Axial Length Changes Following Surgical Intervention in Children With Primary Congenital Glaucoma

Treatment of Pediatric Glaucoma

Uncommon Complication Post-deep Sclerectomy: Giant Retinal Tear

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