Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta

Mohamed F Farid, Mohamed Anany, Mohamed A Awwad Ophthalmology Department, Benha University, Benha, EgyptCorrespondence: Mohamed A AwwadOphthalmology Department, Benha University, PO Box: 13511, 1 Fareed Nada Street, Benha, EgyptEmail mohdzahir82.ma@gmail.comPurpose: To present outcomes of surgical m...

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Autores principales:	Farid MF, Anany M, Awwad MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	primary congenital glaucoma intraocular pressure trabeculotomy trabeculectomy ahmed glaucoma valve the nile delta Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/73c1c08a856c474982e863d41c5a5afb
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spelling	oai:doaj.org-article:73c1c08a856c474982e863d41c5a5afb2021-12-02T13:34:19ZSurgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta1177-5483https://doaj.org/article/73c1c08a856c474982e863d41c5a5afb2021-03-01T00:00:00Zhttps://www.dovepress.com/surgical-outcomes-of-primary-congenital-glaucoma-in-children-under-one-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mohamed F Farid, Mohamed Anany, Mohamed A Awwad Ophthalmology Department, Benha University, Benha, EgyptCorrespondence: Mohamed A AwwadOphthalmology Department, Benha University, PO Box: 13511, 1 Fareed Nada Street, Benha, EgyptEmail mohdzahir82.ma@gmail.comPurpose: To present outcomes of surgical management of primary congenital glaucoma (PCG) in children less than one year of age in a population based at the Nile Delta.Methods: A retrospective review of medical records of patients with PCG less than one year of age at presentation who underwent surgical intervention in a tertiary care facility based at the Nile Delta. All patients underwent measurement of intraocular pressure (IOP), horizontal corneal diameter (HCD), cup-to-disc ratio (CDR) before and after surgery and a minimum of 6 months follow up was required. Surgical success was defined as IOP less than 22mmHg without medications and without progression of main disease parameters.Results: The review revealed 44 eyes of 26 consecutive patients who underwent surgical treatment for PCG. Average age at surgery was 5.2 months and mean follow up was 18.5 months. Preoperative IOP was 28.5± 4 mmHg, HCD was 13.7± 0.7mm, and CDR (when visible) was 0.65± 0.18. A total of 69 surgical procedures were performed with an average of 1.56 procedures per eye. Postoperative IOP was 13.3± 4.8 mmHg, HCD was 12.8± 0.9mm, and CDR was 0.3± 0.2 (P< 0.0001). Surgical success was achieved in 32 eyes (72.7%) while sight-threatening postoperative complications were reported in 3 eyes.Conclusion: Surgical management of PCG younger than one year of age achieved good success rate in the region of the Nile Delta with low rate of visually significant postoperative complications. However, larger studies with longer follow up are needed to fully reveal the overall characteristics of PCG in the region.Keywords: primary congenital glaucoma, intraocular pressure, trabeculotomy, trabeculectomy, Ahmed glaucoma valve, the Nile DeltaFarid MFAnany MAwwad MADove Medical Pressarticleprimary congenital glaucomaintraocular pressuretrabeculotomytrabeculectomyahmed glaucoma valvethe nile deltaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1145-1151 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	primary congenital glaucoma intraocular pressure trabeculotomy trabeculectomy ahmed glaucoma valve the nile delta Ophthalmology RE1-994
spellingShingle	primary congenital glaucoma intraocular pressure trabeculotomy trabeculectomy ahmed glaucoma valve the nile delta Ophthalmology RE1-994 Farid MF Anany M Awwad MA Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
description	Mohamed F Farid, Mohamed Anany, Mohamed A Awwad Ophthalmology Department, Benha University, Benha, EgyptCorrespondence: Mohamed A AwwadOphthalmology Department, Benha University, PO Box: 13511, 1 Fareed Nada Street, Benha, EgyptEmail mohdzahir82.ma@gmail.comPurpose: To present outcomes of surgical management of primary congenital glaucoma (PCG) in children less than one year of age in a population based at the Nile Delta.Methods: A retrospective review of medical records of patients with PCG less than one year of age at presentation who underwent surgical intervention in a tertiary care facility based at the Nile Delta. All patients underwent measurement of intraocular pressure (IOP), horizontal corneal diameter (HCD), cup-to-disc ratio (CDR) before and after surgery and a minimum of 6 months follow up was required. Surgical success was defined as IOP less than 22mmHg without medications and without progression of main disease parameters.Results: The review revealed 44 eyes of 26 consecutive patients who underwent surgical treatment for PCG. Average age at surgery was 5.2 months and mean follow up was 18.5 months. Preoperative IOP was 28.5± 4 mmHg, HCD was 13.7± 0.7mm, and CDR (when visible) was 0.65± 0.18. A total of 69 surgical procedures were performed with an average of 1.56 procedures per eye. Postoperative IOP was 13.3± 4.8 mmHg, HCD was 12.8± 0.9mm, and CDR was 0.3± 0.2 (P< 0.0001). Surgical success was achieved in 32 eyes (72.7%) while sight-threatening postoperative complications were reported in 3 eyes.Conclusion: Surgical management of PCG younger than one year of age achieved good success rate in the region of the Nile Delta with low rate of visually significant postoperative complications. However, larger studies with longer follow up are needed to fully reveal the overall characteristics of PCG in the region.Keywords: primary congenital glaucoma, intraocular pressure, trabeculotomy, trabeculectomy, Ahmed glaucoma valve, the Nile Delta
format	article
author	Farid MF Anany M Awwad MA
author_facet	Farid MF Anany M Awwad MA
author_sort	Farid MF
title	Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_short	Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_full	Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_fullStr	Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_full_unstemmed	Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta
title_sort	surgical outcomes of primary congenital glaucoma in children under one year from the nile delta
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/73c1c08a856c474982e863d41c5a5afb
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Surgical Outcomes of Primary Congenital Glaucoma in Children Under One Year from the Nile Delta

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