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Angle Surgery in Pediatric Glaucoma Following Cataract Surgery
Glaucoma is a common and sight-threatening complication of pediatric cataract surgery Reported incidence varies due to variability in study designs and length of follow-up. Consistent and replicable risk factors for developing glaucoma following cataract surgery (GFCS) are early age at the time of s...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930951/ https://www.ncbi.nlm.nih.gov/pubmed/33562514 http://dx.doi.org/10.3390/vision5010009 |
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author | Jamerson, Emery C. Solyman, Omar Yacoub, Magdi S. Abushanab, Mokhtar Mohamed Ibrahim Elhusseiny, Abdelrahman M. |
author_facet | Jamerson, Emery C. Solyman, Omar Yacoub, Magdi S. Abushanab, Mokhtar Mohamed Ibrahim Elhusseiny, Abdelrahman M. |
author_sort | Jamerson, Emery C. |
collection | PubMed |
description | Glaucoma is a common and sight-threatening complication of pediatric cataract surgery Reported incidence varies due to variability in study designs and length of follow-up. Consistent and replicable risk factors for developing glaucoma following cataract surgery (GFCS) are early age at the time of surgery, microcornea, and additional surgical interventions. The exact mechanism for GFCS has yet to be completely elucidated. While medical therapy is the first line for treatment of GFCS, many eyes require surgical intervention, with various surgical modalities each posing a unique host of risks and benefits. Angle surgical techniques include goniotomy and trabeculotomy, with trabeculotomy demonstrating increased success over goniotomy as an initial procedure in pediatric eyes with GFCS given the success demonstrated throughout the literature in reducing IOP and number of IOP-lowering medications required post-operatively. The advent of microcatheter facilitated circumferential trabeculotomies lead to increased success compared to traditional <180° rigid probe trabeculotomy in GFCS. The advent of two-site rigid-probe trabeculotomy indicated that similar results could be attained without the use of the more expensive microcatheter system. Further studies of larger scale, with increased follow-up, and utilizing randomization would be beneficial in determining optimum surgical management of pediatric GFCS. |
format | Online Article Text |
id | pubmed-7930951 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79309512021-03-05 Angle Surgery in Pediatric Glaucoma Following Cataract Surgery Jamerson, Emery C. Solyman, Omar Yacoub, Magdi S. Abushanab, Mokhtar Mohamed Ibrahim Elhusseiny, Abdelrahman M. Vision (Basel) Review Glaucoma is a common and sight-threatening complication of pediatric cataract surgery Reported incidence varies due to variability in study designs and length of follow-up. Consistent and replicable risk factors for developing glaucoma following cataract surgery (GFCS) are early age at the time of surgery, microcornea, and additional surgical interventions. The exact mechanism for GFCS has yet to be completely elucidated. While medical therapy is the first line for treatment of GFCS, many eyes require surgical intervention, with various surgical modalities each posing a unique host of risks and benefits. Angle surgical techniques include goniotomy and trabeculotomy, with trabeculotomy demonstrating increased success over goniotomy as an initial procedure in pediatric eyes with GFCS given the success demonstrated throughout the literature in reducing IOP and number of IOP-lowering medications required post-operatively. The advent of microcatheter facilitated circumferential trabeculotomies lead to increased success compared to traditional <180° rigid probe trabeculotomy in GFCS. The advent of two-site rigid-probe trabeculotomy indicated that similar results could be attained without the use of the more expensive microcatheter system. Further studies of larger scale, with increased follow-up, and utilizing randomization would be beneficial in determining optimum surgical management of pediatric GFCS. MDPI 2021-02-05 /pmc/articles/PMC7930951/ /pubmed/33562514 http://dx.doi.org/10.3390/vision5010009 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Jamerson, Emery C. Solyman, Omar Yacoub, Magdi S. Abushanab, Mokhtar Mohamed Ibrahim Elhusseiny, Abdelrahman M. Angle Surgery in Pediatric Glaucoma Following Cataract Surgery |
title | Angle Surgery in Pediatric Glaucoma Following Cataract Surgery |
title_full | Angle Surgery in Pediatric Glaucoma Following Cataract Surgery |
title_fullStr | Angle Surgery in Pediatric Glaucoma Following Cataract Surgery |
title_full_unstemmed | Angle Surgery in Pediatric Glaucoma Following Cataract Surgery |
title_short | Angle Surgery in Pediatric Glaucoma Following Cataract Surgery |
title_sort | angle surgery in pediatric glaucoma following cataract surgery |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930951/ https://www.ncbi.nlm.nih.gov/pubmed/33562514 http://dx.doi.org/10.3390/vision5010009 |
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