Further Surgical Options in Children

Mark Werner, Alana L. Grajewski

Research output: Chapter in Book/Report/Conference proceedingChapter


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 languageEnglish (US)
Title of host publicationSurgical Management
PublisherElsevier Inc.
Number of pages13
ISBN (Electronic)9780702055416
ISBN (Print)9780702051937
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Medicine(all)

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    Werner, M., & Grajewski, A. L. (2015). Further Surgical Options in Children. In Surgical Management (Vol. 2, pp. 1137-1149). Elsevier Inc.. https://doi.org/10.1016/B978-0-7020-5193-7.00121-7