Postoperative outcome of three different procedures for childhood glaucoma

Hailong Huang, Wenjun J Bao, Tetsuya Yamamoto, Kazuhide Kawase, Akira Sawada Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, Japan Purpose: To investigate the long-term postoperative outcome of three surgical procedures for childhood glaucoma. Patients and methods:...

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Autores principales: Huang H, Bao WJ, Yamamoto T, Kawase K, Sawada A
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:8d4a3bd316ec491985b8105d2539e8402021-12-02T00:37:39ZPostoperative outcome of three different procedures for childhood glaucoma1177-5483https://doaj.org/article/8d4a3bd316ec491985b8105d2539e8402018-12-01T00:00:00Zhttps://www.dovepress.com/postoperative-outcome-of-three-different-procedures-for-childhood-glau-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hailong Huang, Wenjun J Bao, Tetsuya Yamamoto, Kazuhide Kawase, Akira Sawada Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, Japan Purpose: To investigate the long-term postoperative outcome of three surgical procedures for childhood glaucoma. Patients and methods: In this retrospective study, the patients were divided into a goniotomy group, a trabeculotomy group, and a filtering surgery group, based on the initial surgical procedure. Failure was defined as an IOP ≥21 mmHg with medication at two consecutive visits. A Kaplan–Meier analysis was applied to calculate the probability of success. Additional metrics included IOP, number of additional operations, eye drop scores, and visual acuity. Results: We studied 40 eyes of 25 patients, 21 eyes of 15 patients, and 12 eyes of 7 patients in the goniotomy, trabeculotomy, and filtering surgery groups, respectively. The 10- and 20-year probability of success was 65.2% and 65.2%, 42.2% and NA (no data for 20 years), and 91.7% and 80.2% for the goniotomy, trabeculotomy, and filtering surgery groups, respectively. Conclusion: All three procedures maintained an IOP of less than 21 mmHg for up to 10 years in 65.2%, 42.2%, and 91.7% of childhood glaucoma cases. Keywords: childhood glaucoma, goniotomy, trabeculotomy, filtering surgery, long-term outcomeHuang HBao WJYamamoto TKawase KSawada ADove Medical Pressarticlechildhood glaucomagoniotomytrabeculotomyfiltering surgerylong-term outcomeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1-7 (2018)
institution DOAJ
collection DOAJ
language EN
topic childhood glaucoma
goniotomy
trabeculotomy
filtering surgery
long-term outcome
Ophthalmology
RE1-994
spellingShingle childhood glaucoma
goniotomy
trabeculotomy
filtering surgery
long-term outcome
Ophthalmology
RE1-994
Huang H
Bao WJ
Yamamoto T
Kawase K
Sawada A
Postoperative outcome of three different procedures for childhood glaucoma
description Hailong Huang, Wenjun J Bao, Tetsuya Yamamoto, Kazuhide Kawase, Akira Sawada Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, Japan Purpose: To investigate the long-term postoperative outcome of three surgical procedures for childhood glaucoma. Patients and methods: In this retrospective study, the patients were divided into a goniotomy group, a trabeculotomy group, and a filtering surgery group, based on the initial surgical procedure. Failure was defined as an IOP ≥21 mmHg with medication at two consecutive visits. A Kaplan–Meier analysis was applied to calculate the probability of success. Additional metrics included IOP, number of additional operations, eye drop scores, and visual acuity. Results: We studied 40 eyes of 25 patients, 21 eyes of 15 patients, and 12 eyes of 7 patients in the goniotomy, trabeculotomy, and filtering surgery groups, respectively. The 10- and 20-year probability of success was 65.2% and 65.2%, 42.2% and NA (no data for 20 years), and 91.7% and 80.2% for the goniotomy, trabeculotomy, and filtering surgery groups, respectively. Conclusion: All three procedures maintained an IOP of less than 21 mmHg for up to 10 years in 65.2%, 42.2%, and 91.7% of childhood glaucoma cases. Keywords: childhood glaucoma, goniotomy, trabeculotomy, filtering surgery, long-term outcome
format article
author Huang H
Bao WJ
Yamamoto T
Kawase K
Sawada A
author_facet Huang H
Bao WJ
Yamamoto T
Kawase K
Sawada A
author_sort Huang H
title Postoperative outcome of three different procedures for childhood glaucoma
title_short Postoperative outcome of three different procedures for childhood glaucoma
title_full Postoperative outcome of three different procedures for childhood glaucoma
title_fullStr Postoperative outcome of three different procedures for childhood glaucoma
title_full_unstemmed Postoperative outcome of three different procedures for childhood glaucoma
title_sort postoperative outcome of three different procedures for childhood glaucoma
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/8d4a3bd316ec491985b8105d2539e840
work_keys_str_mv AT huangh postoperativeoutcomeofthreedifferentproceduresforchildhoodglaucoma
AT baowj postoperativeoutcomeofthreedifferentproceduresforchildhoodglaucoma
AT yamamotot postoperativeoutcomeofthreedifferentproceduresforchildhoodglaucoma
AT kawasek postoperativeoutcomeofthreedifferentproceduresforchildhoodglaucoma
AT sawadaa postoperativeoutcomeofthreedifferentproceduresforchildhoodglaucoma
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