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Information Journal Paper

Title

PRIMARY SINGLE-PLATE MOLTENO IMPLANT FOR PEDIATRIC GLAUCOMA ASSOCIATED WITH STURGE-WEBER SYNDROME

Pages

  40-45

Keywords

Not Registered.

Abstract

 Purpose: To evaluate the efficacy and safety of primary single-plate Molteno tube implantation for management of glaucoma in children with Sturge-Weber syndrome.Methods: Primary single-plate Molteno tube implantation was performed in eyes of patients with Sturge-Weber syndrome aged <17 years. Success was defined as intraocular pressure (IOP) £22 mmHg with (relative success) or without (absolute success) antiglaucoma medications. Intra- and postoperative complications were also evaluated. Results: Overall, nine eyes of seven patients with mean age of 9.6±3.7 (range 5-17) years were operated and followed for 32±4.7 (range 20-36) months. Mean IOP decreased from 34.2±8.3 mmHg preoperatively to 21.2±7.3 mmHg at final follow up (P=0.012). Mean number of antiglaucoma medications decreased from 3.4±0.5 preoperatively to 2.2±1.3 at final follow up (P=0.058). The cumulative probability of relative success was 97.2% (95% confidence interval [CI], 91.8-100%) at 12 months, 78.0% (95%CI, 60.4-95.7%) at 24 months and 43.3% (95%CI, 16.2-70.5%) at final follow up. Two eyes achieved absolute success during the first six months, however, at six months and later no eye achieved absolute success. No intraoperative complication occurred; postoperative complications included choroidal effusion necessitating drainage in three eyes (33.3%), and cataract formation and retinal detachment, each in one eye (11%). At final follow up, visual acuity remained unchanged in five eyes and deteriorated in four eyes.Conclusion: The outcomes of this small series revealed that primary single-plate Molteno tube implantation appears to be associated with limited success and a relatively high complication rate in pediatric glaucoma associated with Sturge-Weber syndrome.

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    APA: Copy

    AMINI, HEYDAR, RAZEGHINEZHAD, M.R., & ESFANDYARPOUR, B.. (2007). PRIMARY SINGLE-PLATE MOLTENO IMPLANT FOR PEDIATRIC GLAUCOMA ASSOCIATED WITH STURGE-WEBER SYNDROME. JOURNAL OF OPHTHALMIC AND VISION RESEARCH, 2(1), 40-45. SID. https://sid.ir/paper/311332/en

    Vancouver: Copy

    AMINI HEYDAR, RAZEGHINEZHAD M.R., ESFANDYARPOUR B.. PRIMARY SINGLE-PLATE MOLTENO IMPLANT FOR PEDIATRIC GLAUCOMA ASSOCIATED WITH STURGE-WEBER SYNDROME. JOURNAL OF OPHTHALMIC AND VISION RESEARCH[Internet]. 2007;2(1):40-45. Available from: https://sid.ir/paper/311332/en

    IEEE: Copy

    HEYDAR AMINI, M.R. RAZEGHINEZHAD, and B. ESFANDYARPOUR, “PRIMARY SINGLE-PLATE MOLTENO IMPLANT FOR PEDIATRIC GLAUCOMA ASSOCIATED WITH STURGE-WEBER SYNDROME,” JOURNAL OF OPHTHALMIC AND VISION RESEARCH, vol. 2, no. 1, pp. 40–45, 2007, [Online]. Available: https://sid.ir/paper/311332/en

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