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Risk Factors for Glaucoma Drainage Device Exposure in Children: A Case-Control Study

Deema E Jomar1, Sami Al-Shahwan1, Ali S Al-Beishri1

  • 1From the Glaucoma Division, King Khaled Eye Specialist Hospital (D.E.J., S.A.-S., A.S.A.-B., R.M.), Riyadh, Saudi Arabia.

American Journal of Ophthalmology
|August 24, 2022
PubMed

Insights

Younger age, combined procedures, and multiple prior surgeries increase glaucoma drainage device exposure risk in children. Postoperative eye lubricants may offer protection against this complication.

Area of Science:

  • Ophthalmology
  • Pediatric Glaucoma Management
  • Surgical Complications

Background:

  • Glaucoma drainage devices (GDDs) are used to manage pediatric glaucoma.
  • Device exposure is a significant complication, potentially leading to further vision loss.
  • Identifying risk factors is crucial for preventing GDD exposure in children.

Purpose of the Study:

  • To determine the risk factors associated with glaucoma drainage device (GDD) exposure in pediatric patients.
  • To analyze factors contributing to GDD exposure in children under 18 years old.

Main Methods:

  • Retrospective case-control study including children with and without GDD exposure.
  • Data collected from a tertiary care eye hospital between January 2014 and January 2020.
  • Univariate and multivariate analyses were performed to identify risk factors.

Main Results:

  • An estimated 4.25% incidence of GDD exposure was observed.
  • Risk factors for exposure included multiple previous ocular surgeries, longer follow-up, combined procedures during primary implantation, and younger age at implantation.
  • Postoperative eye lubricant use was more frequent in the control group (no exposure).

Conclusions:

  • Younger age at primary GDD implantation, combined procedures, and multiple prior ocular surgeries are significant risk factors for GDD exposure in pediatric glaucoma.
  • The use of postoperative eye lubricants may be a protective factor against GDD exposure.
Abstract

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