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Trabeculectomy for glaucoma associated with Sturge-Weber syndrome
M A Ali1, I A Fahmy, G L Spaeth
1Research Institute of Ophthalmology, Guiza, Egypt.
Ophthalmic Surgery
|May 1, 1990
Summary
Trabeculectomy effectively manages glaucoma in Sturge-Weber syndrome patients. Most patients achieved adequate intraocular pressure control, preserving visual acuity and optic nerve health.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Pediatric Ophthalmology
Background:
- Sturge-Weber syndrome is a rare congenital disorder.
- Glaucoma is a common complication of Sturge-Weber syndrome.
- Trabeculectomy is a surgical procedure to treat glaucoma.
Purpose of the Study:
- To evaluate the efficacy of trabeculectomy in patients with glaucoma secondary to Sturge-Weber syndrome.
- To assess long-term intraocular pressure control and visual outcomes after the procedure.
Main Methods:
- Retrospective review of seven eyes in six patients with Sturge-Weber syndrome and glaucoma.
- Trabeculectomy was performed as the surgical intervention.
- Follow-up ranged from 9 months to 9 years.
Main Results:
- Adequate intraocular pressure control was achieved in two eyes without medication.
- Good intraocular pressure control was achieved in four eyes with mild medication.
- One eye required multiple procedures and medication for control.
- No further deterioration in visual acuity or optic nerve was observed.
Conclusions:
- Trabeculectomy is a viable surgical option for managing glaucoma in Sturge-Weber syndrome.
- The procedure can lead to sustained intraocular pressure control and prevent further visual decline.
- Careful patient selection and management are crucial for optimal outcomes.