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Surgical Outcomes in Newborns with Primary Congenital Glaucoma / 中山大学学报(医学科学版)
Article em Zh | WPRIM | ID: wpr-817761
Biblioteca responsável: WPRO
ABSTRACT
@#【Objective】To evaluate the efficacy of early filtering surgery in newborns with primary congenital glaucoma(NPCG).【Methods】A total of 70 eyes of 39 patients with NPCG,who underwent trabeculotomy or combined trabeculotomy-trabeculectomy within 3 years old were retrospectively studied. Preoperative and postoperative intraocular pressure(IOP),corneal clarity and diameter,optic disc cupping and visual acuity were evaluated. Kaplan-Meier survival analysis of the success rates were studied. Success rates of the patients who underwent surgery within 1 month old(22 eyes)and older than 1 month old(48 eyes)were compared by Log- Rank.【Results】The postoperative IOP(mmHg;16.9 ± 5.2) were significantly lower than the preoperative IOP(28.7±5.8 ,P<0.001). At the last visit ,the cornea became clearer , C/D(cup/disc)ratio decreased significantly,while the horizontal corneal diameter did not change significantly in all the children. The success rates for all eyes at 1,2,3,6 and 9 years after operation were 94.3%(63 eyes),90.6%(52 eyes),85.9%(40 eyes),85.9%(23 eyes),and 85.9%(15 eyes),respectively. The success rates and visual acuity at last visit of patients who underwent surgery within 1 month old were better than those older than 1 month old(P=0.033; P=0.01). There were no severe intraoperative or postoperative complications.【Conclusions】Early surgery such as trabeculotomy or combined trabeculotomy-trabeculectomy is a safe and effective treatment for NPCG.
Texto completo: 1 Base de dados: WPRIM Idioma: Zh Revista: Journal of Sun Yat-sen University(Medical Sciences) Ano de publicação: 2019 Tipo de documento: Article
Texto completo: 1 Base de dados: WPRIM Idioma: Zh Revista: Journal of Sun Yat-sen University(Medical Sciences) Ano de publicação: 2019 Tipo de documento: Article