Surgical management of glaucoma in infants and children with Peters' anomaly: long-term structural and functional outcome

Lucy L H YangR Doyle Stulting


To determine the long-term outcome of surgery for congenital glaucoma in infants and children with Peters' anomaly. Retrospective review of a consecutive interventional case series. An urban academic tertiary referral institution. Thirty-four eyes of 19 children are subjects of this report. Included are all children 12 years of age or younger with Peters' anomaly who underwent surgery for primary congenital glaucoma between January 1971 and December 1992 and completed a minimum of 3 years of follow-up from the date of the first glaucoma surgery. The surgical procedures performed were trabeculectomy, trabeculotomy, goniotomy, Molteno shunt implantation, cyclodialysis, and cyclocryotherapy. Primary outcome measures were intraocular pressure (IOP) control and final postoperative visual acuity. Intraocular pressure control was defined as complete success (IOP</=21 mmHg without antiglaucoma medication), qualified success (IOP</=21 mmHg with antiglaucoma mediation), or failure (IOP>21 mmHg with or without antiglaucoma medication, inoperable retinal detachment, phthisis, or chronic hypotony, defined as an IOP of </=6 mmHg). A total of 126 glaucoma procedures were performed on 34 eyes of 19 patients. The median age at time of first gla...Continue Reading


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