Management of Pediatric Aphakic Glaucoma With Vitrectomy and Tube Shunts

Yasser M Elshatory; Elizabeth H Gauger; Young H Kwon; Wallace L M Alward; H Culver Boldt; Stephen R Russell; Vinit B Mahajan

doi:10.3928/01913913-20160818-01

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Management of Pediatric Aphakic Glaucoma With Vitrectomy and Tube Shunts

Journal article

Peer reviewed

Management of Pediatric Aphakic Glaucoma With Vitrectomy and Tube Shunts

Yasser M Elshatory, Elizabeth H Gauger, Young H Kwon, Wallace L M Alward, H Culver Boldt, Stephen R Russell and Vinit B Mahajan

Journal of pediatric ophthalmology and strabismus, Vol.53(6), pp.339-343

11/01/2016

DOI: 10.3928/01913913-20160818-01

PMID: 27668871

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Abstract

To review the impact of vitrectomy and tube shunts on mean intraocular pressure (IOP) and number of glaucoma medications in pediatric aphakic glaucoma. A retrospective review of pediatric patients who underwent combined vitrectomy and glaucoma tube shunt surgery for aphakic glaucoma was conducted. Inclusion criteria were: age 18 years or younger, diagnosis of aphakic glaucoma, preoperative IOP data, and postoperative IOP data for at least 6 months. Mean IOP lowering at 1 year, number of glaucoma medications at 1 year, and surgical complications, including tube occlusion in the postoperative period, were noted. The mean ± standard deviation preoperative IOP was 33.9 ± 10.6 mm Hg (range: 18 to 57 mm Hg) with a mean of three topical IOP-lowering medications. A total of 5 (36%) Ahmed and 9 (64%) Baerveldt tube shunts were placed. One of the Baerveldt tube shunt procedures was combined with revision of a traumatically dislocated tube. The mean IOP at 12 months postoperatively was 16.6 ± 5.8 mm Hg (range: 6 to 28 mm Hg; P < .01, t = 3.74, df = 13) with a mean of 2.3 glaucoma medications. There were no cases of tube occlusion, corneal decompensation, endophthalmitis, or retinal detachment over the 12 months of follow-up. Combined vitrectomy and placement of a glaucoma tube shunt can be safe and effective in lowering IOP based on mean IOP values and number of glaucoma medications at 1 year. [J Pediatr Ophthalmol Strabismus. 2016;53(6):339-343.].

Cataract Extraction

Humans

Child, Preschool

Intraocular Pressure - physiology

Glaucoma Drainage Implants

Infant

Male

Glaucoma - surgery

Glaucoma - diagnosis

Cataract - congenital

Adolescent

Female

Vitrectomy

Retrospective Studies

Aphakia, Postcataract - diagnosis

Child

Visual Acuity - physiology

Glaucoma - physiopathology

Aphakia, Postcataract - physiopathology

Aphakia, Postcataract - surgery

Details

Title: Subtitle: Management of Pediatric Aphakic Glaucoma With Vitrectomy and Tube Shunts
Creators: Yasser M Elshatory
Elizabeth H Gauger
Young H Kwon
Wallace L M Alward
H Culver Boldt
Stephen R Russell
Vinit B Mahajan
Resource Type: Journal article
Publication Details: Journal of pediatric ophthalmology and strabismus, Vol.53(6), pp.339-343
Publisher: United States
DOI: 10.3928/01913913-20160818-01
PMID: 27668871
ISSN: 0191-3913
eISSN: 1938-2405
Language: English
Date published: 11/01/2016
Academic Unit: Stead Family Department of Pediatrics; Ophthalmology and Visual Sciences
Record Identifier: 9983979987802771

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8 Times Cited - Web of Science