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  • Title: [Prognosis in juvenile glaucoma after trabeculectomy].
    Author: Koraszewska-Matuszewska B, Samochowiec-Donocik E, Filipek E.
    Journal: Klin Oczna; 2002; 104(2):115-8. PubMed ID: 12174451.
    Abstract:
    PURPOSE: To evaluate the efficacy of trabeculectomy in the patients with juvenile glaucoma in the long-term follow-up. MATERIAL AND METHODS: In 22 of 37 patients--41 trabeculectomies with basal iridectomy were performed. The age of children ranged from 6 to 18 years, mean 12.4 years. In one eye of 15-year-old boy we used Mitomycin C during reoperation. The follow-up period ranged from 2 to 14 years, mean 8 years. Patients were divided into 2 groups depending on the follow-up: I group (19 eyes) was observed 2-6 years, mean 5.1 years, II group (18 eyes) 7-14 years, mean 11.1 years. In the I group 57.9% and in the II group 61% of children were myopic. RESULTS: Intraocular pressure lower or equal to 21 mmHg with no glaucoma medication was obtained in 79% of eyes in the I group and 66.7% of eyes in the II group. The difference was not statistically significant. In other eye local application of B-blockers and dorzolamid decreased intraocular pressure to values safe for the optic nerve, what was monitored by visual acuity and laser scanning tomography. CONCLUSION: Prognosis of juvenile glaucoma patients treated with trabeculectomy is satisfactory but the effectiveness of this procedure decreases together with the elongation of the follow-up period.
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