Treatment of ab-externo microcatheter-assisted trabeculotomy in moderate and advanced primary congenital glaucoma
10.3980/j.issn.1672-5123.2022.11.26
- VernacularTitle:外路微导管辅助的小梁切开术治疗中晚期原发性先天性青光眼
- Author:
Na SUN
1
,
2
,
3
;
Jian-Rong LIU
1
,
2
,
3
;
Wei-Wei WANG
1
,
2
,
3
;
Shuang-Mei WANG
1
,
2
,
3
;
Xin YANG
1
,
2
,
3
Author Information
1. Xi'an People's Hospital(Xi'an Fourth Hospital)
2. Shaanxi Eye Hospital
3. Guangren Hospital Affiliated to Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China
- Publication Type:Journal Article
- Keywords:
ab-externo microcatheter-assisted trabeculotomy;
primary congenital glaucoma;
intraocular pressure
- From:
International Eye Science
2022;22(11):1896-1899
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To evaluate the effectiveness of ab-externo microcatheter-assisted trabeculotomy(MAT)in moderate and advanced primary congenital glaucoma(PCG).METHODS: A retrospective study. A total of 20 children(22 eyes)with PCG who were admitted to Xi'an Fourth Hospital from August 2018 to November 2019 underwent ab-externo MAT. The follow-up is 12mo. The intraocular pressure(IOP), numbers of IOP-lowering drugs, corneal diameter, the cup/disk ratio(C/D ratio)of optic nerve and postoperative complications were observed.RESULTS: The mean preoperative IOP was 33.4±9.1mmHg, while it was 14.4±5.2mmHg at the last follow-up(P<0.001).The median of IOP-lowering drugs used before surgery was 2(2, 4), and it was 0(0, 2)at 12mo after surgery(P<0.001). The preoperative corneal diameter was 13.34±0.89mm, and it was 13.27±0.78mm at 12mo after surgery(P>0.05). The preoperative C/D ratio of optic nerve was 0.85±0.17, and it was 0.84±0.16 at 12mo after surgery(P>0.05). There were no severe complications occurred in all patients.CONCLUSION: Ab-externo MAT is effective and safe in the treatment of moderate and advanced PCG.
