Characteristics and Outcomes of Glaucoma Associated With Congenital Ectropion Uvea

Jacobson, Adam; Moroi, Sayoko E.; Bohnsack, Brenda L.

doi:10.1016/j.ajo.2021.08.023

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…18 The need for combined surgery, as the follow-up length increases, and repeated surgery is also confirmed in more recent studies. 21–25 Mandal et al in their 2022 retrospective review of 26 eyes in 21 patients with CEU, evaluated the long-term outcomes of glaucoma management in a Median follow-up of 51.1 months concluding that combined trabeculotomy-trabeculectomy is a safe and efficacious primary procedure for the management of early-onset glaucoma in CEU. Trabeculectomy with or without adjuvant MMC is a viable second line of treatment in late-onset glaucoma.…”

Section: Discussionmentioning

confidence: 99%

Argon laser trabeculoplasty for congenital ectropion uveae: Case report and review of the literature

Incandela

Ferreri

Sisto

et al. 2023

European Journal of Ophthalmology

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A 18-year-old woman with unilateral glaucoma secondary to congenital ectropion uveae (CEU) in the right eye, without other systemic and ocular associations. Intraocular pressure (IOP) was uncontrolled under topical therapy. The visual field (VF) was within normal limits; retinal nerve fiber layer (RNFL) thickness, as evaluated by Optical Coherence Tomography (OCT), was reduced. The patient refused surgical intervention. After evaluation of the iridocorneal angle, ALT was performed as follows: 95 spots were applied for the 270 ° of visible trabecular meshwork using a laser beam diameter of 50 μm, an exposure time of 0.1 s and a power of 750 mw). Mean IOP in the right eye, as evaluated by diurnal tonometric curve, was 10 mmHg, 16 mmHg and 20 mmHg respectively one month, four months and eight months after ALT, with no additional topical therapy, and 18 mmHg twelve months after ALT with topical therapy. CEU is a rare, non-progressive anomaly characterized by the proliferation of iris pigment epithelium on anterior surface of iris; glaucoma, in this disorder, is often poorly controlled with medical therapy alone. In a phase of initial glaucomatous damage and with a not particularly high IOP, as in this case, ALT could be an alternative therapeutic option at least in the short-term, when surgery is not feasible immediately. In fact, given its limited effectiveness over time, ALT can be used as a temporary control measure of IOP, pending surgery to become feasible.

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Section: Discussionmentioning

confidence: 99%

Argon laser trabeculoplasty for congenital ectropion uveae: Case report and review of the literature

Incandela

Ferreri

Sisto

et al. 2023

European Journal of Ophthalmology

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“…Other recent studies investigated the results of GDD implants in different forms of secondary glaucoma (38,39,56,62) . In aniridia, glaucoma developed in 52% of eyes, half of which required IOP-lowering surgery.…”

Section: Indicationsmentioning

confidence: 99%

“…Eyes with congenital ectropion uvea may require multiple glaucoma surgeries and only a GDD implant might not be sufficient to control the IOP (39) .…”

Section: Indicationsmentioning

confidence: 99%

Glaucoma drainage devices in children: an updated review

Vasconcelos,

Massote,

Senger

et al. 2024

ABO

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Implantation of glaucoma drainage devices is a valuable therapeutic option, particularly in children with glaucoma refractory to primary surgical treatment. Glaucoma drainage devices are typically used when conjunctival scarring hampers filtration surgery or prior angle procedures are not effective in controlling intraocular pressure. Despite known complications, the use of glaucoma drainage devices in children has increased in recent years, even as the primary surgical option. In this review, we evaluate the results of recent studies involving the implantation of glaucoma drainage devices in children, discussing new advances, and comparing the success rates and complications of different devices.

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Microcatheter-Assisted Circumferential Trabeculotomy After Failed Glaucoma Surgeries in Childhood Glaucoma

Fang¹,

Zhu²,

Lin³

et al. 2023

American Journal of Ophthalmology

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Characteristics and Outcomes of Glaucoma Associated With Congenital Ectropion Uvea

Cited by 7 publications

References 25 publications

Argon laser trabeculoplasty for congenital ectropion uveae: Case report and review of the literature

Argon laser trabeculoplasty for congenital ectropion uveae: Case report and review of the literature

Glaucoma drainage devices in children: an updated review

Microcatheter-Assisted Circumferential Trabeculotomy After Failed Glaucoma Surgeries in Childhood Glaucoma

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