Glaucome congénital : pronostic pressionnel et visuel après trabéculectomie et rééducation de la part fonctionnelle de l’amblyopie

Soltani, Leila; Ahammou, H; Baroudi, S. Al; Essafi, H.; Hajji, I.; Moutaouakil, A

doi:10.1016/j.jfo.2018.02.028

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…In our study, most of the patients were male (62.96% of the cases). This is consistent with most studies carried out in different countries (Soltani, 2019;Qiao, 2009;Tchabi, 2007;Makita, 2017;Hoguet, 2016). This male predominance reported by several authors can be explained by the genetics of the disease (Vithana, 2009).…”

Section: Discussionsupporting

confidence: 91%

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Effect Of Trabeculectomy On Ocular Biometry And Refractive Errors In Pediatric Glaucoma

Guirou

Dembélé

Napo

et al. 2021

ESJ

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Background: Pediatric glaucoma triggers refractive errors by modifying the biometry of the eye. This study was conducted with the objective of estimating the short-term biometric and refractive changes prior to and post trabeculectomy in pediatric glaucoma. Material and Methods: A 12-month, descriptive, cross-sectional study was carried out from January to December 2019, using patients operated on for pediatric glaucoma. Pre- and post-operative biometric and refraction measurements were noted. Visual acuity, axial length, corneal diameter and refraction were obtained. All ethical requirements (anonymity, free, informed, and continuous consent) were satisfied. Data analysis was done using SPSS 20.0. Results: In the present study, 47 eyes of 27 patients were surgically operated upon, from January 2019 to December 2019 at CHU-IOTA. The predominant sex was male (17 patients) at 63%, giving a sex ratio (M / F) of 1.7. The mean age was 5.04 ± 4.24. Preoperatively, the mean corneal diameter, and D90 were respectively 13.83 ± 1.51 and 12.55 ± 0.99. Preoperatively, the mean axial length, and D90, were 23.87 ± 1.29 and 22.28 ± 1.07, respectively. Preoperatively and at three month, the mean myopia (n = 36), were respectively -3.13 ± 1.83 and -1.59 ± 0.97. The mean preoperative astigmatism (n = 47) and D90 were respectively, -1.59 ± 0.77 and -1.23 ± 0.57. A statistically significant relationship (p <0.05) was found to exist between the preoperative and postoperative data of the axial length, corneal diameter, and refractive errors. Conclusions: Trabeculectomy significantly exerts a short-term positive impact on the biometrics and refraction by modifying the initial measurements and diopters.

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Section: Discussionsupporting

confidence: 91%

“…The mean age was 5.04 ± 4.24 years in our series. The mean age for our cases was higher than most studies that included only congenital glaucoma (Zhang, 2009;Soltani, 2019;Detry-Morel, 2001). In our study, most of the patients were male (62.96% of the cases).…”

Section: Discussionmentioning

confidence: 60%

Effect Of Trabeculectomy On Ocular Biometry And Refractive Errors In Pediatric Glaucoma

Guirou

Dembélé

Napo

et al. 2021

ESJ

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Severity of visual field defects in primary congenital glaucoma and their risk factors

Sihota

Selvan

Sharma

et al. 2020

Graefes Arch Clin Exp Ophthalmol

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Congenital Refractory Glaucoma: A New Ophthalmic Association of Kabuki Syndrome and its Management With Glaucoma Drainage Devices

Bravetti¹,

Gillmann²,

Mansouri

et al. 2019

Journal of Glaucoma

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Introduction: Kabuki syndrome (KS) is a rare congenital and polymalformative condition, traditionally associated with mental retardation, unusual facial features, and skeletal abnormalities. We hereby describe a case of bilateral congenital glaucoma associated with MLL2-mutation KS. To the best of our knowledge, this is the first association of KS with congenital glaucoma. Case Report: The patient was a 3-year-old male of North African ethnicity diagnosed with KS and bilateral congenital glaucoma at the age of 3 months and the first child of a nonconsanguineous healthy couple, with no known genetic conditions within the family. The patient was referred to our tertiary glaucoma center with uncontrollable intraocular pressures between 50 and 60 mm Hg in both eyes. Past ophthalmic history included bilateral trabeculectomies and right retinal detachment with phthisis bulbi. We performed left lensectomy combined with Baerveldt tube insertion in the vitreous cavity, revealing extensive posterior synechiae. Postoperatively, he developed intense inflammation with fibrin and vitreous strand formation, requiring subsequent surgeries and subconjunctival injections of betamethasone. Despite these complications, IOP stabilized between 3 and 6 mm Hg. Discussion: This case confirms congenital glaucoma as a rare association of KS, and highlights the potential high-risk nature of such cases. In our opinion, the presence of high levels of inflammation perioperatively and postoperatively is an indication for primary glaucoma drainage device surgery given the high risk of bleb scarring resulting in recurrent surgical revisions. In view of these observations, we also advocate the use of intensive postoperative anti-inflammatory therapy.

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Glaucome congénital : pronostic pressionnel et visuel après trabéculectomie et rééducation de la part fonctionnelle de l’amblyopie

Cited by 3 publications

References 9 publications

Effect Of Trabeculectomy On Ocular Biometry And Refractive Errors In Pediatric Glaucoma

Effect Of Trabeculectomy On Ocular Biometry And Refractive Errors In Pediatric Glaucoma

Severity of visual field defects in primary congenital glaucoma and their risk factors

Congenital Refractory Glaucoma: A New Ophthalmic Association of Kabuki Syndrome and its Management With Glaucoma Drainage Devices

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