Pediatric Glaucoma: A Literature’s Review and Analysis of Surgical Results
Open Access
- 16 September 2015
- journal article
- review article
- Published by Hindawi Limited in BioMed Research International
- Vol. 2015, 1-8
- https://doi.org/10.1155/2015/393670
Abstract
The purpose of this paper is to review the surgical options available for the management of pediatric glaucoma, to evaluate their advantages and disadvantages together with their long-term efficacy, all with the intent to give guidelines to physicians on which elements are to be considered when taking a surgical decision. Currently there is a range of surgical procedures that are being used for the management of pediatric glaucoma. Within these, some are completely new approaches, while others are improvements of the more traditional procedures. Throughout this vast range of surgical options, angle surgery remains the first choice in mild cases and both goniotomy and trabeculotomy have good success rates. Trabeculectomy with or without mitomycin C (MMC) is preferred in refractory cases, in aphakic eyes, and in older children. GDIs have a good success rate in aphakic eyes. Nonpenetrating deep sclerectomy is still rarely used; nevertheless the results of ongoing studies are encouraging. The different clinical situations should always be weighed against the risks associated with the procedures for the individual patients. Glaucomatous progression can occur many years after its stabilization and at any time during the follow-up period; for this reason life-long assessment is necessary.This publication has 70 references indexed in Scilit:
- Two-Year Survival of Ahmed Valve Implantation in the First 2 Years of Life with and without Intraoperative Mitomycin-COphthalmology, 2009
- Axenfeld–Rieger syndrome and spectrum of PITX2 and FOXC1 mutationsEuropean Journal of Human Genetics, 2009
- Trabeculectomy With Mitomycin C Versus Ahmed Glaucoma Implant With Mitomycin C for Treatment of Pediatric Aphakic GlaucomaJournal of Glaucoma, 2007
- Non‐penetrating deep sclerectomy for glaucoma associated with Sturge–Weber syndromeActa Ophthalmologica Scandinavica, 2006
- Comparison between Results of Trabeculectomy in Primary Congenital Glaucoma with and without the Use of Mitomycin CJournal of Glaucoma, 2004
- Two-staged Baerveldt glaucoma implant for childhood glaucoma associated with Sturge-Weber syndromeOphthalmology, 2000
- Trabeculectomy with mitomycin-c in the treatment of pediatric glaucomasOphthalmology, 2000
- What is the best primary surgical treatment for the infantile glaucomas?British Journal of Ophthalmology, 1996
- Sturge-Weber Syndrome: Age of Onset of Seizures and Glaucoma and the Prognosis for Affected ChildrenJournal of Child Neurology, 1995
- Relapse following goniotomy for congenital glaucoma due to trabecular dysgenesisEye, 1992