Failure of Goniosurgery for Glaucoma Associated With Sturge-Weber Syndrome.

Journal of Pediatric Ophthalmology and Strabismus
Helen H YeungDavid S Walton

Abstract

To report the surgical results of goniosurgery for children with glaucoma associated with Sturge-Weber syndrome. Retrospective review of medical records of patients who had initial goniosurgery for glaucoma associated with Sturge-Weber syndrome. A total of 46 eyes of 42 patients who had glaucoma associated with Sturge-Weber syndrome and were treated with initial goniosurgery were identified to determine the efficacy of therapeutic goniotomy and trabeculotomy (goniosurgery). The average age at the time of goniosurgery was 1.5 years (range: 1 month to 23 years). Office intraocular pressure (IOP) measurements before goniosurgery were recorded in 76% of patients (32 of 42 patients) with an average measurement of 35 mm Hg (range: 25 to 50 mm Hg). The average interval to failure was 4 months (range: 1 to 48 months). Forty-six eyes underwent goniosurgery with a rate of failure of 98% (45 of 46 eyes) and a qualified success rate of 2% (1 of 46 eyes). Fifty-one goniotomy and 11 trabeculotomy procedures were performed. On gonioscopy, the filtration angles were all abnormal with variable width and visibility of the ciliary body band and less visible scleral spur. The trabecular meshwork was seen preoperatively in 100% of eyes (41 of 41 ey...Continue Reading

References

Sep 1, 1984·Ophthalmology·G W CibisB J Tripathi
Mar 11, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·A H AwadJ T Zwaan
Oct 26, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·K E OlsenM M Wright
May 10, 2003·Japanese Journal of Ophthalmology·Noriko Akabane, Teruhiko Hamanaka
Apr 23, 2008·International Ophthalmology Clinics·Thomas D PatrianakosDavid S Walton
Mar 1, 2012·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Tiffany ShiauAlex V Levin
Aug 16, 2017·American Journal of Ophthalmology·Yue WuWenyi Guo

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