The Long-term Outcomes of Glaucoma Drainage Device in Pediatric Glaucoma

Abstract

GDD surgery can work adequately in children in the long term. A relatively high complications rate should be expected, but in most cases these can be managed successfully. Early recognition of complications is necessary to ensure a good outcome.

Glaucoma drainage device surgery in children and adults: a comparative study of outcomes and complications

“…In our previous study [3], we discussed this high incidence of endophthalmitis in relation to the published literature. In contrast, no adult patient developed infectious endophthalmitis, although there were two cases of sterile endophthalmitis.…”

“…The choice of GDD was determined by the surgeon after careful evaluation of the risk of postoperative hypotony, taking into account the type of glaucoma and any previous surgical or laser interventions as well as the accessibility of the sub-Tenon’s space for placement of the plate. The surgical technique was described in a previous report [3]. In brief, the conjunctiva and Tenon’s fascia were dissected in the superior temporal quadrant.…”

“…We reported in our previous study on the long-term outcomes and complications of GDD surgery in children in comparison to the existing literature [3]. The purpose of this study was to compare the outcomes and complications of GDD surgery in our pediatric series with adult patients coming from the same population who were operated upon by the same surgeon at a tertiary glaucoma referral center.…”

Outcome of a Low-Cost Glaucoma Implant versus the Baerveldt Glaucoma Implant for Paediatric Glaucoma in a Tertiary Hospital in Egypt

“…Childhood glaucoma is a blinding disease with a prevalence of 0.1/1000 to 1.1/1000 in children in different parts of the world, but a remarkably higher prevalence in developing countries (up to 0.051%) [1,2]. Glaucoma drainage devices (GDDs), such as the Ahmed glaucoma valve (AGV) or Baerveldt glaucoma implant (BGI), have been reported to have high success rates in the management of childhood glaucoma when used in either a primary surgical procedure or following other angle-based glaucoma surgeries, such as trabeculectomy [3]. Furthermore, 5-year results of the tube versus trabeculectomy (TVT) study found BGI implantation had a higher success rate and lower rate of reoperation than trabeculectomy, with a similar intraocular pressure (IOP) reduction and need for glaucoma medications [4].…”

Glaukomchirurgie bei Vorderabschnittsdysgenesien

“…Bei jugendlichen oder erwachsenen Patienten mit Z. n. bindehauteröffnenden Eingriffen ist der Einsatz von Drainageimplantaten meist der erfolgversprechendere filtrationschirurgische Ansatz als die Trabekulektomie. Vorsicht ist jedoch bei vorangegangenen zyklodestruktiven Eingriffen geboten: Das Komplikationsrisiko, wie postoperative Hypotonie oder Verlust der Restsehfähigkeit, steigt mit der Zahl zyklodestruktiver Voreingriffe [33]. Daher sollte eine Zyklophotokoagulation (CPC) eher als supportiver Eingriff zur Titration der Druckwerte nach Filtrationseingriffen denn als Primäreingriff eingesetzt werden.…”