Updates on the Surgical Management of Pediatric Glaucoma

Asia-Pacific Journal of Ophthalmology
Yar-Li TanChing-Lin Ho

Abstract

Childhood glaucoma is known to be one of the most challenging conditions to manage. Surgical management is more complicated than in adults because of differences in anatomy from adults along with variations in anatomy caused by congenital and developmental anomalies, wide-ranging pathogenetic mechanisms, a more aggressive healing response, and a less predictable postoperative course. Challenges in postoperative examination and management in less cooperative children and the longer life expectancies preempting the need for future surgeries and reinterventions are also contributing factors. Angle surgery is usually the first-line treatment in the surgical management of primary congenital glaucoma because it has a relatively good success rate with a low complication rate. After failed angle surgery or in cases of secondary pediatric glaucoma, options such as trabeculectomy, glaucoma drainage devices, or cyclodestructive procedures can be considered, depending on several factors such as the type of glaucoma, age of the patient, and the severity and prognosis of the disease. Various combinations of these techniques have also been studied, in particular combined trabeculotomy-trabeculectomy, which has been shown to be successful in p...Continue Reading

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Citations

Sep 15, 2016·Chinese Medical Journal·Jie-Lei HuangXing Liu
Oct 6, 2019·The British Journal of Ophthalmology·George Varghese PuthuranAlan L Robin
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Dec 30, 2021·International Ophthalmology Clinics·Nicole CarrabbaLauren S Blieden

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