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Aqueous drainage device surgery in refractory pediatric glaucomas: I. Long-term outcomes.

Publication ,  Journal Article
O'Malley Schotthoefer, E; Yanovitch, TL; Freedman, SF
Published in: J AAPOS
February 2008

PURPOSE: To determine the long-term outcomes and complications of aqueous drainage device surgery in children with congenital and aphakic glaucoma. METHODS: Chart review of consecutive children treated with aqueous drainage device surgery at Duke University Eye Center from 1995 to 2006, recording demographic, glaucoma-related, and anterior segment examination findings. RESULTS: Included are 30 children (38 eyes) with congenital glaucoma and 32 children (41 eyes) with aphakic glaucoma. Median follow-up was 5.5 years (0.5-10.5) in the congenital glaucoma group and 3.5 years (0.5-13.8) in the aphakic glaucoma group. Pre-aqueous drainage device median intraocular pressure (IOP) was 29 mmHg in the congenital glaucoma group and 36 mmHg in the aphakic glaucoma group. Post-aqueous drainage device median IOP was 14 and 15 mmHg in the congenital and aphakic glaucoma group, respectively (p < 0.0001 vs pre-aqueous drainage device IOP). Post-aqueous drainage device pupil abnormalities were noted in 16% and 7% of eyes in the congenital glaucoma and aphakic glaucoma groups, respectively, and cataract occurred in 20% of phakic eyes in the congenital glaucoma group. Reoperation was necessary in 26% and 22% of eyes in the congenital glaucoma and aphakic glaucoma groups, respectively. One-year Kaplan-Meier success was 92% and 90% in the congenital and aphakic glaucoma groups, respectively, but fell by 10 years to 42% and 55%, respectively. Vision-threatening complications occurred in 10% of eyes overall. DISCUSSION: Aqueous drainage device surgery is moderately successful in children with refractory congenital and aphakic glaucoma. Common complications include corneal touch and cataract; iris abnormalities occur less commonly.

Duke Scholars

Published In

J AAPOS

DOI

EISSN

1528-3933

Publication Date

February 2008

Volume

12

Issue

1

Start / End Page

33 / 39

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Time Factors
  • Retrospective Studies
  • Prosthesis Design
  • Ophthalmology & Optometry
  • Intraocular Pressure
  • Infant
  • Humans
  • Glaucoma Drainage Implants
 

Citation

APA
Chicago
ICMJE
MLA
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O’Malley Schotthoefer, E., Yanovitch, T. L., & Freedman, S. F. (2008). Aqueous drainage device surgery in refractory pediatric glaucomas: I. Long-term outcomes. J AAPOS, 12(1), 33–39. https://doi.org/10.1016/j.jaapos.2007.07.002
O’Malley Schotthoefer, Erin, Tammy L. Yanovitch, and Sharon F. Freedman. “Aqueous drainage device surgery in refractory pediatric glaucomas: I. Long-term outcomes.J AAPOS 12, no. 1 (February 2008): 33–39. https://doi.org/10.1016/j.jaapos.2007.07.002.
O’Malley Schotthoefer E, Yanovitch TL, Freedman SF. Aqueous drainage device surgery in refractory pediatric glaucomas: I. Long-term outcomes. J AAPOS. 2008 Feb;12(1):33–9.
O’Malley Schotthoefer, Erin, et al. “Aqueous drainage device surgery in refractory pediatric glaucomas: I. Long-term outcomes.J AAPOS, vol. 12, no. 1, Feb. 2008, pp. 33–39. Pubmed, doi:10.1016/j.jaapos.2007.07.002.
O’Malley Schotthoefer E, Yanovitch TL, Freedman SF. Aqueous drainage device surgery in refractory pediatric glaucomas: I. Long-term outcomes. J AAPOS. 2008 Feb;12(1):33–39.
Journal cover image

Published In

J AAPOS

DOI

EISSN

1528-3933

Publication Date

February 2008

Volume

12

Issue

1

Start / End Page

33 / 39

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Time Factors
  • Retrospective Studies
  • Prosthesis Design
  • Ophthalmology & Optometry
  • Intraocular Pressure
  • Infant
  • Humans
  • Glaucoma Drainage Implants