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[Intermediate results on the use of drainage devices for paediatric glaucoma]

T Colás-Tomás1, E Gutiérrez-Díaz, P Tejada-Palacios

  • 1Servicio de Oftalmología, Hospital 12 de Octubre, Universidad Complutense, Madrid, España. teresacolas@hotmail.com

Archivos De La Sociedad Espanola De Oftalmologia
|February 21, 2012
PubMed

Insights

Glaucoma drainage devices (GDD) offer a viable surgical option for refractory pediatric glaucoma. Long-term success rates were 76% at six months, decreasing to 55% by 4-8 years, with a 41% failure rate.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Paediatric glaucoma presents unique challenges requiring effective management strategies.
  • Glaucoma drainage devices (GDD) are considered for refractory cases when conventional treatments fail.

Purpose of the Study:

  • To evaluate the efficacy and long-term complications of GDD implantation in children (0-15 years).
  • To assess the probability of surgical success and intraocular pressure control post-GDD implantation.

Main Methods:

  • Retrospective cohort study of 17 GDD implantations (Ahmed GDD and Molteno GDD) in 14 pediatric patients.
  • Analysis of demographic data, glaucoma type, pre- and post-operative intraocular pressure (IOP), and follow-up duration.

Main Results:

  • Congenital glaucoma (64.28%) and aphakic glaucoma (35.71%) were the primary indications.
  • Median IOP reduced from 29.82 mmHg pre-operatively to 14.05 mmHg post-operatively.
  • Kaplan-Meier analysis showed success rates of 76% (6 months), 63% (1-3 years), and 55% (4-8 years), with an overall GDD failure rate of 41.17%.

Conclusions:

  • GDDs represent a valuable surgical intervention for refractory pediatric glaucoma.
  • While initial success is high, long-term efficacy requires careful monitoring due to a significant failure rate.
Abstract

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