| Trabeculectomy Versus Combined Trabeculotomy-Trabeculectomy in Pediatric Glaucoma. | |
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MedLine Citation:
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PMID: 22800798 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE:To compare outcomes between trabeculectomy and combined trabeculotomy-trabeculectomy in children with glaucoma. METHODS:This was a retrospective, comparative study of 40 eyes in 33 patients with pediatric glaucoma: 17 eyes treated with trabeculectomy and 23 eyes treated with combined trabeculotomy-trabeculectomy. Both groups were treated with intraoperative mitomycin C. Success was defined as intraocular pressure (IOP) of 21 mm Hg or less and greater than 5 mm Hg with no additional glaucoma surgery. RESULTS:Mean follow-up was 38.3 months. There was no significant difference in mean IOP lowering between groups during the follow-up period. Log-rank survival analysis showed a significantly higher success rate after combined surgery compared with trabeculectomy (P = .027). Treatment failures occurred in 5 patients with trabeculectomy and in 2 patients undergoing combined trabeculotomy-trabeculectomy. Failures resulted from increased IOP (n = 3) or hypotony (n = 4). There were no significant differences in complications observed after surgery in both groups. CONCLUSION:Trabeculectomy and combined trabeculotomy-trabeculectomy with mitomycin C were equally effective at lowering average IOP in children. Combined trabeculotomy-trabeculectomy was associated with greater long-term success. |
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Authors:
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Scott D Lawrence; Peter A Netland |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-7-17 |
Journal Detail:
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Title: Journal of pediatric ophthalmology and strabismus Volume: - ISSN: 1938-2405 ISO Abbreviation: - Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-7-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7901143 Medline TA: J Pediatr Ophthalmol Strabismus Country: - |
Other Details:
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Languages: ENG Pagination: 1-7 Citation Subset: - |
Copyright Information:
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Copyright 2012, SLACK Incorporated. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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