Congenital Glaucoma from Sturge-Weber Syndrome: A Modified Surgical Approach.
10.3341/kjo.2012.26.6.481
- Author:
Nancy Shi Yin YUEN
1
;
Ian Yat Hin WONG
Author Information
1. The Hong Kong Ophthalmic Associates, Central, Hong Kong.
- Publication Type:Case Reports
- Keywords:
Congenital glaucoma;
Ocular viscoelastic device;
Sturge-Weber syndrome;
Trabeculectomy;
Trabeculotomy
- MeSH:
Glaucoma/*congenital;
Humans;
Infant, Newborn;
*Intraocular Pressure;
Male;
Sturge-Weber Syndrome/*complications/diagnosis/surgery;
Trabeculectomy/*methods;
Visual Acuity
- From:Korean Journal of Ophthalmology
2012;26(6):481-484
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sturge-Weber syndrome (SWS) is a rare congenital neurocutaneous disorder that causes congenital glaucoma. Previous experiences have shown that drainage procedures are often required to control associated glaucoma. The conventional surgical approach in trabeculectomy carries a significant risk of intraoperative expulsive hemorrhage. Here, we describe a modified approach of the conventional trabeculectomy technique, which may lower the risk of expulsive hemorrhage. A viscoelastic device was employed to maintain a steady intraocular pressure throughout the procedure. Details of the surgical technique and material used are described. One patient with congenital glaucoma associated with SWS underwent a successful trabeculectomy using the modified technique. Postoperative intraocular pressure was successfully reduced and no intraoperative complications occurred. We describe a successful case of trabeculectomy in a SWS case where a modified technique was applied.
