Outcomes of adjusted trabeculotomy in cases with juvenile glaucoma

Purpose To evaluate surgical and visual outcomes of modified adjusted trabeculotomy in juvenile glaucoma (JG) cases. Methods A retrospective case series; medical records of 43 patients (69 eyes) JG cases operated by adjusted trabeculotomy between 2011 and 2018. Those who completed a minimum of 1 yea...

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Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2021-03, Vol.259 (3), p.697-704
Main Author: Khalil, Ahmad K.
Format: Article
Language:English
Subjects:
Acuity
Eye
Glaucoma
Medical records
Medicine
Medicine & Public Health
Ophthalmology
Patients
Success
Surgery
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Summary:Purpose To evaluate surgical and visual outcomes of modified adjusted trabeculotomy in juvenile glaucoma (JG) cases. Methods A retrospective case series; medical records of 43 patients (69 eyes) JG cases operated by adjusted trabeculotomy between 2011 and 2018. Those who completed a minimum of 1 year of regular follow-up, and up to 5 years were included in the study. Intraocular pressure (IOP), number of medications, cup/disc ratio (CDR), and visual acuity (VA) at baseline, postoperative 1, 3, 5 years were evaluated. Success required IOP ≤ 18 mmHg and a minimum of 20% reduction, without medications (full), or with medications (qualified). Results Numbers of patients (eyes) who completed 1, 3, and 5 follow-up years were as follows: 26 (43), 15 (27), and 11 (19). Median (range) age at surgery was 21.5 (8–43) years. Mean (range) IOP was significantly ( P  
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-020-05003-0