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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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2/2002
vol. 104
 
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abstract:
Original paper

Prognosis in juvenile glaucoma after trabeculectomy

Bro­nis­ła­wa­ Ko­ra­szew­ska­-M­at­usze­wska
1
,
Elż­bie­ta Sa­mo­cho­wiec­-D­on­ocik
1
,
Eri­ta Fi­li­pek
1

  1. Z Katedry i Kliniki Okulistyki Dziecięcej Śląskiej Akademii Medycznej w Katowicach
Online publish date: 2002/06/29
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Purpose:
to evaluate the efficacy of trabeculectomy in the patients with juvenile glaucoma in the long-term follow-up.

Material and methods:
in 22 of 37 patients - 41 trabeculectomies with basal iridectomy were performed. The age of children ranged from 6 to 18 years, mean 12,4 years. In one eye of 15-year-old boy we used Mitomycin C during reoperation. The follow-up period ranged from 2 to 14 years, mean 8 years. Patients were divided into 2 groups depending on the follow-up: I group (19 eyes) was observed 2-6 years, mean 5,1 years, II group (18 eyes) 7-14 years, mean 11,1 years. In the I group 57,9% and in the II group 61% of children were myopic.

Results:
intraocular pressure lower or equal to 21 mmHg with no glaucoma medication was obtained in 79% of eyes in the I group and 66,7% of eyes in the II group. The difference was not statistically significant. In other eye local application of B-blockers and dorzolamid decreased intraocular pressure to values safe for the optic nerve, what was monitored by visual acuity and laser scanning tomography.

Conclusions:
Prognosis of juvenile glaucoma patients treated with trabeculectomy is satisfactory but the effectiveness of this procedure decreases together with the elongation of the follow-up period.

keywords:

trabeculectomy, juvenile glaucoma, intraocular pressure, visual acuity, optic nerve disc biomorphometry

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