El-Shahed, F., Farid, M., El Afify, S. (2020). Management of Primary Congenital Glaucoma. test, 5(Issue 6 part (2)), 223-229. doi: 10.21608/bjas.2020.137163
F.E. El-Shahed; M.F. Farid; S.A. El Afify. "Management of Primary Congenital Glaucoma". test, 5, Issue 6 part (2), 2020, 223-229. doi: 10.21608/bjas.2020.137163
El-Shahed, F., Farid, M., El Afify, S. (2020). 'Management of Primary Congenital Glaucoma', test, 5(Issue 6 part (2)), pp. 223-229. doi: 10.21608/bjas.2020.137163
El-Shahed, F., Farid, M., El Afify, S. Management of Primary Congenital Glaucoma. test, 2020; 5(Issue 6 part (2)): 223-229. doi: 10.21608/bjas.2020.137163

Management of Primary Congenital Glaucoma

Benha Journal of Applied Sciences
Article 11, Volume 5, Issue 6 part (2), September 2020, Pages 223-229    PDF (430.61 K)
Document Type: Original Research Papers
DOI: 10.21608/bjas.2020.137163
Authors
F.E. El-Shahed1; M.F. Farid1; S.A. El Afify2
1Ophthalmology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
2Ophthalmology Dept., Kafr Shokr Hospital, Kafr shokr ,Egypt
Abstract
To study management of primary congenital glaucoma in a defined population of the Qalyubia governorate ,Egypt.
Patients and methods The present study was a retrospective chart review of 28 children(48)eyes, who presented with PCG
and were operated upon between January 2013 and December 2017 at the Ophthalmology Department of Benha University
Hospital.The charts were reviewed for demographics as well as clinical data. Postoperative data were retrieved till the end
of the follow-up period. Complications were noted, and success rates were studied. Results The mean age±SD (range) of
the study population at presentation was 9.1±17.5 months, and of the follow-up period was 17.5±10.8 months.The most
common primary glaucoma surgical procedure performed trabeculectomy with mitomycin C (36 procedures). The mean
values (range) of preoperative intraocular pressure (on no intraocular pressure lowering therapy), corneal diameter and
cup/disc ratio of the study eyes were 26.2 ±5.4 mmHg,13.6±0.8mm, 0.66± 0.1, respectively, and postoperatively at last
follow-up were12.9±4.7mmHg, 12.9±0.9mm, 0.41±0.2. The most common complications were peaked pupil (10.5%),
followed by cataract (8.4%) and tube endothelial touch (6.3%). Conclusion Most PCG patients present in the first 6 months
of life, so that the most commonly performed procedure was trabeculectomy augmented with mitomycin-C. Meticulous,
continuous and prolonged follow-up is mandatory for all operated cases to ensure long-term success.
Keywords
Combined trabeculectomy; Congenital; glaucoma; Primary; Trabeculotomy
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