Primary single-plate Molteno tube implantation for management of glaucoma in children with Sturge-Weber syndrome

Amini, Heydar; Razeghinejad, Mohammad Reza; Esfandiarpour, Bahare

doi:10.1007/s10792-007-9091-4

Cited by 26 publications

(18 citation statements)

References 22 publications

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“…; Olsen et al ; Zografos et al ; Irkeç et al ; Mandal ; Taylor et al ; Budenz et al ; van Emelen et al , Rumen et al. ; Höcht et al ; Amini et al ; Horgan et al ; Sharan et al , Chan et al ; Conway & Hosking ; Khitri et al ; Saltzmann et al , Kubicka‐Trząska et al ).…”

Section: Resultsunclassified

Visual outcome in Sturge–Weber syndrome: a systematic review and Dutch multicentre cohort

Koenraads

Egmond-Ebbeling

Boer

et al. 2016

Acta Ophthalmologica

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Visual functions in Sturge-Weber syndrome (SWS) may be impaired by glaucoma, diffuse choroidal haemangioma (DCH) or leptomeningeal angioma. The aim of this study was to gain better insight in the visual deficits of SWS patients. A systematic literature search using PubMed and Embase medical databases was performed to identify articles describing visual acuity (VA) and/or visual field (VF) findings in SWS patients. In addition, a Dutch multicentre cohort with 33 SWS patients was collected and the combined results of VA and VF findings are presented. Visual acuity results of 25 studies and VF results of 12 studies were suitable for data extraction. Description of the combination of both VA and VF findings was scarce. Homonymous hemianopia (HH) was present in 42% of SWS patients. Seventy per cent of eyes had a (near) normal vision, while VA of eyes with glaucoma or DCH was severely impaired in 28% and 67%, respectively. In the Dutch cohort, only 18% (6/33) of patients had (near) normal findings of both visual parameters. In addition, half of the patients with glaucoma suffered from a combination of a HH and VA impairment. In conclusion, although SWS patients are exposed to severe functional visual impairment due to the possible cumulative consequences of glaucoma, DCH and cerebral injury, description of the combination of both VA and VF results is scarce in the literature. Particularly, the combination of visual impairment due to glaucoma or DCH, and HH might be invalidating.

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Section: Resultsunclassified

Visual outcome in Sturge–Weber syndrome: a systematic review and Dutch multicentre cohort

Koenraads

Egmond-Ebbeling

Boer

et al. 2016

Acta Ophthalmologica

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“…The Molteno tube has also been used in a small case series in children suffering from SWS. Though the outcomes were not favourable and there was as an elevated complication rate [ 62 ].…”

Section: Sturge-weber Syndromementioning

confidence: 99%

Ophthalmic Alterations in the Sturge-Weber Syndrome, Klippel-Trenaunay Syndrome, and the Phakomatosis Pigmentovascularis: An Independent Group of Conditions?

Abdolrahimzadeh

Scavella

Felli³

et al. 2015

BioMed Research International

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The phakomatoses have been traditionally defined as a group of hereditary diseases with variable expressivity characterized by multisystem tumors with possible malignant transformation. The Sturge-Weber syndrome, Klippel-Trenaunay syndrome, and the phakomatosis pigmentovascularis have the facial port-wine stain in common. Numerous pathophysiogenetic mechanisms have been suggested such as venous dysplasia of the emissary veins in the intracranial circulation, neural crest alterations leading to alterations of autonomic perivascular nerves, mutation of the GNAO gene in the Sturge-Weber syndrome, PIK3CA mutation in malformative/overgrowth syndromes such as the Klippel-Trenaunay syndrome, and the twin-spotting phenomenon in phakomatosis pigmentovascularis. Other features linked to the port-wine stain and typical to all of the three conditions are glaucoma and choroidal alterations. Glaucoma can be due to malformations of the anterior chamber or high episcleral venous pressure and in phakomatosis pigmentovascularis it can also be associated with angle hyperpigmentation. The choroid can be thickened in all diseases. Furthermore, choroidal melanocytosis in the phakomatosis pigmentovascularis can lead to malignant transformation. Although the multiple pathophysiological mechanisms still require clarification, similarities in ophthalmic manifestations make it reasonable to classify these diseases in an independent group.

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“…Hamush et al reported choroidal detachment in 3 eyes of 11 patients [ 62 ]. Amini et al reported 3 cases of choroidal detachment in 9 patients with Sturge-Weber related glaucoma who underwent Ahmed valve implantation [ 63 ]. Budenz et al reported a serous choroidal detachment in two patients of 9 patients (20%) which underwent Baerveldt valve implant resolved spontaneously without the need to drain, the self-limiting nature of this complacence was due to prophylactic posterior sclerotomies performed, in more than one quadrant [ 64 ].…”

Section: Angle Surgery: Goniotomy and Trabeculotomymentioning

confidence: 99%

Pediatric Glaucoma: A Literature’s Review and Analysis of Surgical Results

Scuderi

Iacovello

Pranno

et al. 2015

BioMed Research International

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The purpose of this paper is to review the surgical options available for the management of pediatric glaucoma, to evaluate their advantages and disadvantages together with their long-term efficacy, all with the intent to give guidelines to physicians on which elements are to be considered when taking a surgical decision. Currently there is a range of surgical procedures that are being used for the management of pediatric glaucoma. Within these, some are completely new approaches, while others are improvements of the more traditional procedures. Throughout this vast range of surgical options, angle surgery remains the first choice in mild cases and both goniotomy and trabeculotomy have good success rates. Trabeculectomy with or without mitomycin C (MMC) is preferred in refractory cases, in aphakic eyes, and in older children. GDIs have a good success rate in aphakic eyes. Nonpenetrating deep sclerectomy is still rarely used; nevertheless the results of ongoing studies are encouraging. The different clinical situations should always be weighed against the risks associated with the procedures for the individual patients. Glaucomatous progression can occur many years after its stabilization and at any time during the follow-up period; for this reason life-long assessment is necessary.

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Primary single-plate Molteno tube implantation for management of glaucoma in children with Sturge-Weber syndrome

Abstract: Outcomes of this small case study reveal that primary single-plate Molteno tube implantation appears to be associated with a limited success rate and a relatively high complication rate in eyes of children with glaucoma resulting from Sturge-Weber syndrome.

Cited by 26 publications

References 22 publications

Visual outcome in Sturge–Weber syndrome: a systematic review and Dutch multicentre cohort

Visual outcome in Sturge–Weber syndrome: a systematic review and Dutch multicentre cohort

Ophthalmic Alterations in the Sturge-Weber Syndrome, Klippel-Trenaunay Syndrome, and the Phakomatosis Pigmentovascularis: An Independent Group of Conditions?

Pediatric Glaucoma: A Literature’s Review and Analysis of Surgical Results

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