Risk factors for strabismus following glaucoma drainage device implantation for refractory childhood glaucoma

Talsania, Sonali D.; Nallasamy, Nambi; Lee, Andrew R.; Freedman, Sharon F.

doi:10.1016/j.jaapos.2019.02.005

Cited by 7 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In recent years, with the continuous progress of science and technology, microsurgery has been widely used in clinic. It is reported that microsurgical treatment for children with strabismus not only changes the appearance of strabismus and achieves the cosmetic effect but also heals quickly and has fewer complications, thus improving the quality of ophthalmic technology [ 11 , 12 ]. The purpose of this study is to explore the curative effect of the microsurgical technique on strabismus in children and to analyze the related factors affecting the curative effect of children.…”

Section: Introductionmentioning

confidence: 99%

Observation on the Curative Effect of Microsurgery in 154 Children with Strabismus and Analysis of Its Influencing Factors

Zhao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Strabismus is a common ophthalmic disease in the process of child body development, in which the two eyes cannot gaze at the target at the same time, and the incidence of this disease of children is higher. In children with esotropia, exotropia, and up and down strabismus and other typical symptoms, the cause is genetic, innerve, and refractive and regulated, and not receiving timely treatment may lead to stereo vision and diplopia and other phenomena, affecting their learning and life. Surgical treatment is the main treatment for strabismus at present. Traditional orthodontic surgery is performed by doctors under the naked eye, often due to improper operation or suture error and other factors, resulting in more postoperative complications, such as more tissue damage, conjunctival congestion, and muscle suture reaction, which seriously affect the clinical effect of surgical treatment. In recent years, with the continuous development of microsurgical technology, the correction of strabismus under a microscope has been widely carried out in clinic. The operation under the microscope makes the operation more delicate and accurate, overcomes the defects of traditional surgery, and highlights the advantages of minimally invasive surgery. The purpose of this study was to investigate the effect of microsurgical techniques in the treatment of strabismus in children and to analyze the factors influencing the outcome. The results showed that microsurgical strabismus correction in the treatment of strabismus children has short operation time, less intraoperative blood loss, short hospital stay, high efficiency, and less complications, which is worthy of popularization. Age, preoperative strabismus angle, refractive error, distance stereopsis injury, near stereoscopic injury, and duration of disease were all independent influencing factors of postoperative efficacy.

show abstract

Section: Introductionmentioning

confidence: 99%

Observation on the Curative Effect of Microsurgery in 154 Children with Strabismus and Analysis of Its Influencing Factors

Zhao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

show abstract

“…Strabismus is common in children with glaucoma affecting between 14 and 47% and can exacerbate amblyopia leading to worse visual outcomes [ 1 , 3 ]. Amblyopia can be as much of a factor in visual prognosis in young children with glaucoma as controlling the IOP [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Strabismus is common in children with glaucoma, especially in unilateral and asymmetric cases and early-onset eso- and exo- deviations can exacerbate vision loss from strabismic amblyopia [ 1 – 3 ]. While obtaining and maintaining intraocular pressure (IOP) control should be the primary focus, it is important to remember to treat amblyopia and strabismus in pediatric patients which may involve part-time occlusion, correction of refractive error, and strabismus surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Treatment of the strabismus in this setting is primarily surgical, however, glaucoma drainage devices (GDDs) can induce an additional restrictive component in both children and adults [ 1 , 3 , 6 – 9 ]. Additionally, placement of a GDD makes adjacent rectus muscle surgery more complicated and less predictable, often requiring hang-back sutures and removal of the capsule surrounding the plate [ 2 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Concurrent adjacent strabismus surgery with glaucoma drainage device placement in childhood glaucomas

Jacobson,

Bohnsack

2024

BMC Ophthalmol

View full text Add to dashboard Cite

Background Determine outcomes of concurrent strabismus surgery with placement of a glaucoma drainage device (GDD) in children. Methods Retrospective review of pediatric patients who underwent simultaneous lateral rectus (LR) muscle surgery with superotemporal GDD placement. Strabismus and GDD success were defined as residual horizontal misalignment < 10 prism diopter (PD) and intraocular pressure (IOP) < 21 mmHg, no visually devastating complications, and no additional IOP-lowering surgeries. Results Fifteen eyes of 13 patients (69% male) underwent LR surgery (14 recessions, 1 resection) for exotropia or esotropia simultaneous with GDD placement (13 Baerveldt, 2 Ahmed) at 8.34 ± 5.26 years. Preoperative visual acuity (VA) in operative eye (0.89 ± 0.54) was worse than non-operative eye (0.23 ± 0.44, p = 0.0032). Preoperative horizontal deviation was 38.3 ± 9.4 PD and LR recession was 7.4 ± 1.1 mm. At final follow-up, VA in operative eye (0.87 ± 0.52) was unchanged from preoperative (p = 0.4062). Final IOP was significantly decreased (12.4 ± 4.7 mmHg vs. 31.1 ± 11.4 mmHg, p = 0.0001) as was number of glaucoma medications (2.7 ± 1.7 vs. 1.1 ± 1.3, p = 0.0037). Five (38%) and 9 patients (69%) met criteria for strabismus and GDD success, respectively. Two eyes required tube revision and endoscopic cyclophotocoagulation and 2 eyes had additional strabismus surgery. Conclusions Concurrent strabismus and GDD surgery decreased horizontal deviation and obtained IOP control. It is important to consider correction of strabismus at time of GDD placement to maximize visual development and improve cosmesis in children with glaucoma.

show abstract

“…Strabismus is another common complication of GDD implantation in children (64)(65)(66) . A recent study showed more severe limitations and motility disturbances with the use of AGV (65) .…”

Section: Complicationsmentioning

confidence: 99%

Glaucoma drainage devices in children: an updated review

Vasconcelos,

Massote,

Senger

et al. 2024

ABO

View full text Add to dashboard Cite

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.

show abstract

Risk factors for strabismus following glaucoma drainage device implantation for refractory childhood glaucoma

Cited by 7 publications

References 7 publications

Observation on the Curative Effect of Microsurgery in 154 Children with Strabismus and Analysis of Its Influencing Factors

Observation on the Curative Effect of Microsurgery in 154 Children with Strabismus and Analysis of Its Influencing Factors

Concurrent adjacent strabismus surgery with glaucoma drainage device placement in childhood glaucomas

Glaucoma drainage devices in children: an updated review

Contact Info

Product

Resources

About