Pediatric glaucoma
| Autor: | Allen D. Beck, Annette Giangiacomo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Intraocular pressure medicine.medical_specialty genetic structures medicine.medical_treatment Glaucoma Trabeculectomy Intraocular lens Aphakia Postcataract Aphakia Article Tonometry Ocular 03 medical and health sciences 0302 clinical medicine Lens Implantation Intraocular Ophthalmology medicine Glaucoma surgery Humans Child Glaucoma Drainage Implants Intraocular Pressure business.industry General Medicine medicine.disease Trabeculotomy eye diseases 030104 developmental biology 030221 ophthalmology & optometry sense organs Implant business |
| Zdroj: | Current Opinion in Ophthalmology. 28:199-203 |
| ISSN: | 1040-8738 |
| Popis: | Purpose of review The purpose of this review is to update the clinician on the recent work in the field of pediatric glaucoma. Recent findings Using the iCare tonometer to measure intraocular pressure (IOP) in children is highly successful. New data from the Infant Aphakia Treatment Study show that after 5 years of follow-up the risk of developing glaucoma is similar between patients that receive initial intraocular lens implantation and those who are left aphakic. New data show effective lowering of IOP using either approach to trabeculotomy: treating the angle partially with trabeculotomes or circumferentially with a suture or iTrack microcatheter. Recent data on an updated approach to trabeculectomy in children show success in lowering IOP with few complications; however, visual outcomes continue to be suboptimal. A separate study shows that the addition of tenonectomy may not increase surgical success, but may increase survival time and reduce bleb encapsulation. Glaucoma drainage devices in general, and the Ahmed implant in particular, continue to be found to be moderately successful to control IOP, and are therefore employed, especially after initial angle surgery has failed. Summary Continued work to evaluate the techniques used in the clinical and surgical management of pediatric glaucoma patients supports that both newer and older approaches remain standard of care. |
| Databáze: | OpenAIRE |
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