Klinische Monatsblatter fur Augenheilkunde · 1998
[Eyeball growth after successful glaucoma surgery in the 1st year of life--follow-up values for primary congenital glaucoma].
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Dietlein T S, Jacobi P C, Krieglstein G K
Аннотация
BACKGROUND: Echographic biometry of the ocular axial length is a helpful criterion in diagnosis and follow-up of primary congenital glaucoma. However, quantitative assessment of ocular growth following successful primary glaucoma surgery in the first year of life is hardly to find in literature.
PATIENTS AND METHODS: In 36 eyes from 21 patients (mean age 4.4 +/- 2.4 months) with primary congenital glaucoma Ascan biometry was performed under general anesthesia before and 7.2 +/- 4.2 months following successful primary glaucoma surgery and retrospectively summarized.
RESULTS: Preoperative axial length was 21.7 +/- 2.5 mm, postoperative axial length was 22.4 +/- 1.6 mm. Ocular growth was significantly stronger in eyes with a preoperative axial length < 20 mm (p = 0.0012) and in children younger than 3 months at surgery (p = 0.0004).
CONCLUSIONS: Preoperative axial length and age are basic factors for the interpretation of ocular growth following glaucoma surgery in primary congenital glaucoma. Temporary cessation of ocular growth is a frequent finding after successful pressure-reducing surgery in eyes with axial length > 22 mm and in children aged 3 months or older.
PATIENTS AND METHODS: In 36 eyes from 21 patients (mean age 4.4 +/- 2.4 months) with primary congenital glaucoma Ascan biometry was performed under general anesthesia before and 7.2 +/- 4.2 months following successful primary glaucoma surgery and retrospectively summarized.
RESULTS: Preoperative axial length was 21.7 +/- 2.5 mm, postoperative axial length was 22.4 +/- 1.6 mm. Ocular growth was significantly stronger in eyes with a preoperative axial length < 20 mm (p = 0.0012) and in children younger than 3 months at surgery (p = 0.0004).
CONCLUSIONS: Preoperative axial length and age are basic factors for the interpretation of ocular growth following glaucoma surgery in primary congenital glaucoma. Temporary cessation of ocular growth is a frequent finding after successful pressure-reducing surgery in eyes with axial length > 22 mm and in children aged 3 months or older.