Further Surgical Options in Children

Mark Werner, Alana Lee Grajewski

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationGlaucoma: Second Edition
PublisherElsevier Inc.
Pages1137-1149
Number of pages13
Volume2
ISBN (Print)9780702055416, 9780702051937
DOIs
StatePublished - Sep 3 2014

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Trabeculectomy
Mitomycin
Retinal Detachment
Blister
Infection
Reoperation
Glaucoma
Drainage
Therapeutics
Pediatrics
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Werner, M., & Grajewski, A. L. (2014). Further Surgical Options in Children. In Glaucoma: Second Edition (Vol. 2, pp. 1137-1149). Elsevier Inc.. https://doi.org/10.1016/B978-0-7020-5193-7.00121-7

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 proceedingChapter

Werner, M & Grajewski, AL 2014, Further Surgical Options in Children. in Glaucoma: Second Edition. vol. 2, Elsevier Inc., pp. 1137-1149. https://doi.org/10.1016/B978-0-7020-5193-7.00121-7
Werner M, Grajewski AL. Further Surgical Options in Children. In Glaucoma: Second Edition. Vol. 2. Elsevier Inc. 2014. p. 1137-1149 https://doi.org/10.1016/B978-0-7020-5193-7.00121-7
Werner, Mark ; Grajewski, Alana Lee. / Further Surgical Options in Children. Glaucoma: Second Edition. Vol. 2 Elsevier Inc., 2014. pp. 1137-1149
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