Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Options in pediatric glaucoma after angle surgery has failed.

Suzana A Tanimoto1, James D Brandt

  • 1Department of Ophthalmology and Vision Science, University of California, Davis, California 95817-2307, USA.

Current Opinion in Ophthalmology
|March 23, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ab-Externo MicroShunt vs. Trabeculectomy in Primary Open-Angle Glaucoma: 5-Year Safety Results from a Randomized, Multicenter Study.

Ophthalmology. Glaucoma·2025
Same author

Childhood Glaucoma.

Ophthalmology. Glaucoma·2025
Same author

Diagnosis of Primary Open-Angle Glaucoma and Mental Health Status.

JAMA ophthalmology·2025
Same author

Visual Field Progression in the Ocular Hypertension Treatment Study.

American journal of ophthalmology·2024
Same author

Primary Open-Angle Glaucoma Polygenic Risk Score and Risk of Disease Onset: A Post Hoc Analysis of a Randomized Clinical Trial.

JAMA ophthalmology·2024
Same author

The Wholesome Foods Approach to Trabeculectomy Wet Lab Training.

Journal of academic ophthalmology (2017)·2024
Same journal

Laser vision correction (LASIK, PRK, SMILE) with simultaneous accelerated corneal crosslinking.

Current opinion in ophthalmology·2026
Same journal

Traumatic macular hole: observe, operate, or other options.

Current opinion in ophthalmology·2026
Same journal

The evolving role of artificial intelligence in ophthalmology: basic science, translation, and clinical integration.

Current opinion in ophthalmology·2026
Same journal

Editorial: reducing risk for refractive surgery.

Current opinion in ophthalmology·2026
Same journal

Updates on Refractive Surgery: Benefits, Risks, and Costs of Modern Treatment Options.

Current opinion in ophthalmology·2026
Same journal

Corneal Allogeneic Intrastromal Ring Segments for keratoconus - recent evidence and the move to customized and custom shaped CAIRS.

Current opinion in ophthalmology·2026
See all related articles

Refractory pediatric glaucoma requires careful surgical consideration after initial angle surgery fails. Glaucoma drainage devices offer a predictable and safe option for managing complex congenital glaucoma cases.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Glaucoma Management

Background:

  • Congenital glaucoma is a surgical condition where medical management is temporary.
  • First-line surgeries include goniotomy and trabeculotomy, which are generally successful.
  • Approximately 20% of angle surgeries fail, necessitating further intervention.

Purpose of the Study:

  • To review and compare surgical options following failed angle surgery for congenital glaucoma.
  • To discuss the role of trabeculectomy, glaucoma drainage devices, and cyclodestructive procedures.
  • To analyze how patient age, prior procedures, and glaucoma type influence surgical choice.

Main Methods:

  • Review of recent clinical reports and retrospective studies on refractory pediatric glaucoma.

Related Experiment Videos

  • Comparison of outcomes for different surgical procedures in pediatric populations.
  • Analysis of factors influencing the success of secondary glaucoma surgeries.

    • Main Results:

    • Trabeculectomy in pediatric patients is associated with poorer outcomes and increased infection risk with mitomycin C.
    • Glaucoma drainage devices show approximately 80% success at 1 year, though long-term efficacy varies.
    • Cyclodestructive procedures are typically for advanced cases, but low-dose options may be useful earlier.

    Conclusions:

    • Refractory pediatric glaucoma presents ongoing challenges in management.
    • Glaucoma drainage devices are considered the most predictable and potentially safest option after failed angle surgery.