Abstract
Table 121-1 compares the success rates and different features of interventions for refractory pediatric glaucoma. To date, no treatment has shown reliable IOP lowering over long periods of follow-up in all patients. In selecting a treatment, the practitioner must consider the long-term risks and benefits. The infection-prone anterior bleb following a successful trabeculectomy with mitomycin C has deterred many surgeons from this procedure as second-line treatment. Drainage implants may have a lower risk of infection, though problems with tube migration and exposure frequently require surgical revision. Cyclodestructive procedures, particularly cyclophotocoagulation, have a role in refractory cases, though there is a risk of devastating complications, including retinal detachment and phthisis.
| Original language | English (US) |
|---|---|
| Title of host publication | Glaucoma: Second Edition |
| Publisher | Elsevier Inc. |
| Pages | 1137-1149 |
| Number of pages | 13 |
| Volume | 2 |
| ISBN (Print) | 9780702055416, 9780702051937 |
| DOIs | |
| State | Published - Sep 3 2014 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Further Surgical Options in Children. / Werner, Mark; Grajewski, Alana Lee.
Glaucoma: Second Edition. Vol. 2 Elsevier Inc., 2014. p. 1137-1149.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Further Surgical Options in Children
AU - Werner, Mark
AU - Grajewski, Alana Lee
PY - 2014/9/3
Y1 - 2014/9/3
N2 - Table 121-1 compares the success rates and different features of interventions for refractory pediatric glaucoma. To date, no treatment has shown reliable IOP lowering over long periods of follow-up in all patients. In selecting a treatment, the practitioner must consider the long-term risks and benefits. The infection-prone anterior bleb following a successful trabeculectomy with mitomycin C has deterred many surgeons from this procedure as second-line treatment. Drainage implants may have a lower risk of infection, though problems with tube migration and exposure frequently require surgical revision. Cyclodestructive procedures, particularly cyclophotocoagulation, have a role in refractory cases, though there is a risk of devastating complications, including retinal detachment and phthisis.
AB - Table 121-1 compares the success rates and different features of interventions for refractory pediatric glaucoma. To date, no treatment has shown reliable IOP lowering over long periods of follow-up in all patients. In selecting a treatment, the practitioner must consider the long-term risks and benefits. The infection-prone anterior bleb following a successful trabeculectomy with mitomycin C has deterred many surgeons from this procedure as second-line treatment. Drainage implants may have a lower risk of infection, though problems with tube migration and exposure frequently require surgical revision. Cyclodestructive procedures, particularly cyclophotocoagulation, have a role in refractory cases, though there is a risk of devastating complications, including retinal detachment and phthisis.
UR - http://www.scopus.com/inward/record.url?scp=84944412868&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84944412868&partnerID=8YFLogxK
U2 - 10.1016/B978-0-7020-5193-7.00121-7
DO - 10.1016/B978-0-7020-5193-7.00121-7
M3 - Chapter
AN - SCOPUS:84944412868
SN - 9780702055416
SN - 9780702051937
VL - 2
SP - 1137
EP - 1149
BT - Glaucoma: Second Edition
PB - Elsevier Inc.
ER -