Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta

Mohamed F Farid, Mohamed Anany, Mohamed A Awwad Ophthalmology Department, Benha University, Benha, EgyptCorrespondence: Mohamed A AwwadOphthalmology Department, Benha University, PO Box: 13511, 1 Fareed Nada Street, Benha, EgyptEmail mohdzahir82.ma@gmail.comPurpose: To present outcomes of surgical m...

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Main Authors: Farid MF, Anany M, Awwad MA
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/surgical-outcomes-of-primary-congenital-glaucoma-in-children-under-one-peer-reviewed-article-OPTH
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spelling doaj-73c1c08a856c474982e863d41c5a5afb2021-03-16T22:01:25ZengDove Medical PressClinical Ophthalmology1177-54832021-03-01Volume 151145115163088Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile DeltaFarid MFAnany MAwwad MAMohamed F Farid, Mohamed Anany, Mohamed A Awwad Ophthalmology Department, Benha University, Benha, EgyptCorrespondence: Mohamed A AwwadOphthalmology Department, Benha University, PO Box: 13511, 1 Fareed Nada Street, Benha, EgyptEmail mohdzahir82.ma@gmail.comPurpose: To present outcomes of surgical management of primary congenital glaucoma (PCG) in children less than one year of age in a population based at the Nile Delta.Methods: A retrospective review of medical records of patients with PCG less than one year of age at presentation who underwent surgical intervention in a tertiary care facility based at the Nile Delta. All patients underwent measurement of intraocular pressure (IOP), horizontal corneal diameter (HCD), cup-to-disc ratio (CDR) before and after surgery and a minimum of 6 months follow up was required. Surgical success was defined as IOP less than 22mmHg without medications and without progression of main disease parameters.Results: The review revealed 44 eyes of 26 consecutive patients who underwent surgical treatment for PCG. Average age at surgery was 5.2 months and mean follow up was 18.5 months. Preoperative IOP was 28.5± 4 mmHg, HCD was 13.7± 0.7mm, and CDR (when visible) was 0.65± 0.18. A total of 69 surgical procedures were performed with an average of 1.56 procedures per eye. Postoperative IOP was 13.3± 4.8 mmHg, HCD was 12.8± 0.9mm, and CDR was 0.3± 0.2 (P< 0.0001). Surgical success was achieved in 32 eyes (72.7%) while sight-threatening postoperative complications were reported in 3 eyes.Conclusion: Surgical management of PCG younger than one year of age achieved good success rate in the region of the Nile Delta with low rate of visually significant postoperative complications. However, larger studies with longer follow up are needed to fully reveal the overall characteristics of PCG in the region.Keywords: primary congenital glaucoma, intraocular pressure, trabeculotomy, trabeculectomy, Ahmed glaucoma valve, the Nile Deltahttps://www.dovepress.com/surgical-outcomes-of-primary-congenital-glaucoma-in-children-under-one-peer-reviewed-article-OPTHprimary congenital glaucomaintraocular pressuretrabeculotomytrabeculectomyahmed glaucoma valvethe nile delta
collection DOAJ
language English
format Article
sources DOAJ
author Farid MF
Anany M
Awwad MA
spellingShingle Farid MF
Anany M
Awwad MA
Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
Clinical Ophthalmology
primary congenital glaucoma
intraocular pressure
trabeculotomy
trabeculectomy
ahmed glaucoma valve
the nile delta
author_facet Farid MF
Anany M
Awwad MA
author_sort Farid MF
title Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_short Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_full Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_fullStr Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_full_unstemmed Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_sort surgical outcomes of primary congenital glaucoma in children under one year from the nile delta
publisher Dove Medical Press
series Clinical Ophthalmology
issn 1177-5483
publishDate 2021-03-01
description Mohamed F Farid, Mohamed Anany, Mohamed A Awwad Ophthalmology Department, Benha University, Benha, EgyptCorrespondence: Mohamed A AwwadOphthalmology Department, Benha University, PO Box: 13511, 1 Fareed Nada Street, Benha, EgyptEmail mohdzahir82.ma@gmail.comPurpose: To present outcomes of surgical management of primary congenital glaucoma (PCG) in children less than one year of age in a population based at the Nile Delta.Methods: A retrospective review of medical records of patients with PCG less than one year of age at presentation who underwent surgical intervention in a tertiary care facility based at the Nile Delta. All patients underwent measurement of intraocular pressure (IOP), horizontal corneal diameter (HCD), cup-to-disc ratio (CDR) before and after surgery and a minimum of 6 months follow up was required. Surgical success was defined as IOP less than 22mmHg without medications and without progression of main disease parameters.Results: The review revealed 44 eyes of 26 consecutive patients who underwent surgical treatment for PCG. Average age at surgery was 5.2 months and mean follow up was 18.5 months. Preoperative IOP was 28.5± 4 mmHg, HCD was 13.7± 0.7mm, and CDR (when visible) was 0.65± 0.18. A total of 69 surgical procedures were performed with an average of 1.56 procedures per eye. Postoperative IOP was 13.3± 4.8 mmHg, HCD was 12.8± 0.9mm, and CDR was 0.3± 0.2 (P< 0.0001). Surgical success was achieved in 32 eyes (72.7%) while sight-threatening postoperative complications were reported in 3 eyes.Conclusion: Surgical management of PCG younger than one year of age achieved good success rate in the region of the Nile Delta with low rate of visually significant postoperative complications. However, larger studies with longer follow up are needed to fully reveal the overall characteristics of PCG in the region.Keywords: primary congenital glaucoma, intraocular pressure, trabeculotomy, trabeculectomy, Ahmed glaucoma valve, the Nile Delta
topic primary congenital glaucoma
intraocular pressure
trabeculotomy
trabeculectomy
ahmed glaucoma valve
the nile delta
url https://www.dovepress.com/surgical-outcomes-of-primary-congenital-glaucoma-in-children-under-one-peer-reviewed-article-OPTH
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