Surgical treatment of children with congenital glaucoma combined with other defects of eye development
We studied the results of surgical treatment of 8 children (13 eyes) aged 1 month to 4 years with congenital glaucoma combined with defects of development in the advanced and terminal stages. All children underwent an operation - sclerectotrabeculectomy or sinus trabeculotomy combined with cyclodialysis or cycloretraction with autoscleral drainage. Over a year after the operation, normal IOP stayed in 8 eyes (61.5 %) of patients with Sturge-Weber syndrome and aniridia. One patient (2 eyes) with Peters' anomaly displayed IOP increase to 30.7 ± 1.5 mm Hg, while one more patient (2 eyes) with Axenfeld - Rieger anomaly had IOP risen to 26.56 ± 0.9 mm Hg; along with echobiometric parameters, these symptoms were an indication for a repeated operation. A second surgery similar to the first one lowered IOP to 25.08 ± 2.02 mm Hg, which has held for 4 years now. Other patients display a stable improvement of visual functions and compensated glaucoma process // Russian Ophthalmological Journal, 2014; 4:60-2.