The Results of Glaucoma Surgery in Aniridia

Aniridia

“…Some of the eyes that failed trabeculectomy eventually achieved IOP control after implantation of a Molteno shunt. 17 Grant and Walton 14 reported unsuccessful outcomes in 11 trabeculectomies performed on 9 eyes with aniridic glaucoma, 12 and Adachi reported failure of trabeculectomy in 5 eyes. 18 Glaucoma drainage implants are another option for IOP control in cases of aniridia.…”

Bilateral sporadic aniridia: review of management

“…Of those that were responsive to medical treatment, 50.0% required oral carbonic anhydrase inhibitors. Unsatisfactory results have been reported with cases treated with argon laser trabeculoplasty (ALT) 26. Diode laser photocoagulation is also ineffective 27.…”

Aniridia Associated with Lens Coloboma and Secondary Glaucoma Treated with Transcorneal Argon Laser Ciliary Body Photocoagulation: A Case Report

“…Increased central corneal thickness, cataracts, glaucoma, limbal stem cell deficiency, ptosis, nystagmus and foveal hypoplasia or foveal aplasia have been described [3, 4]. The incidence of glaucoma associated with AN has been reported to vary from 6 to 75% [5]. Glaucoma associated with AN typically develops during the first 2 decades of life and is attributed to progressive anterior rotation of the rudimentary iris, leading to angle closure.…”

“…Glaucoma associated with AN typically develops during the first 2 decades of life and is attributed to progressive anterior rotation of the rudimentary iris, leading to angle closure. It is typically resistant to medical therapy, and glaucoma management for this condition is generally surgical, but there is a lack of consensus among professionals regarding which surgical approach is best [4, 5, 6]. We present the case of a patient affected by congenital AN associated with cataract, lens coloboma and refractory glaucoma, who was treated with pars plana cataract extraction using vitrectomy and transcorneal argon laser photocoagulation of the ciliary body in the right eye.…”