Outcome of angle surgery in children with aphakic glaucoma

Glaucoma-Related Adverse Events in the Infant Aphakia Treatment Study

“…Of note, three of the glaucoma cases in IATS which were treated with trabeculotomy surgery were controlled at one year post cataract surgery. Angle surgery in children who develop open angle glaucoma following congenital cataract surgery was noted to be successful in 57% of 14 eyes with a mean follow-up of 4.7 years(some patients required more than one angle surgery), and may decrease the need for filtering or shunt procedures 25 .…”

“…Visual acuity in children who develop glaucoma following congenital cataract surgery may be limited by glaucomatous optic nerve damage, amblyopia, pupillary membranes, corneal decompensation, or complications from glaucoma surgical intervention 7,24,25 . In IATS, eyes which developed a glaucoma-related adverse event had a median visual acuity that was three Snellen lines worse than those which did not .…”

An illuminated microcatheter for 360-degree trabeculectomy in congenital glaucoma: A retrospective case series

“…While the success rate of suture trabeculectomy is high, suture misdirection can occur and may have serious visual consequences should the suture be unknowingly advanced subretinally. 13,[18][19][20] The illuminated microcatheter has several potential advantages over the use of a suture for trabeculectomy. First, the microcatheter tip contains a flashing beacon that is visible through the sclera.…”

“…However, the "pursestring" suture approach is not without challenges; it may be difficult to advance the suture around the full circumference of Schlemm's canal with a single scleral cut-down, to ensure gonioscopic verification of suture location in cases of corneal opacification, 11 and to direct the suture since it can potentially result in intraocular damage. 12,13 An illuminated ophthalmic microcatheter has been successfully used to cannulate the full circumference of Schlemm's canal in adult patients with open-angle glaucoma. [14][15][16] This flexible microcatheter incorporates light from a red laser diode that allows visualization of the catheter tip through the patient's limbus transsclerally to verify proper placement.…”

Fiber-optic microcatheter trabeculotomy combined with anterior segment surgery in children: Report of three cases

“…Other surgical approaches to treat glaucoma sequentially or at the same surgical setting may have been equally effective. [2][3][4][5][6][7][8] …”