Journal of glaucoma · 2019
Gonioscopy-assisted Transluminal Trabeculotomy in a Pediatric Patient With Steroid-induced Glaucoma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hopen Michael L, Gallardo Mark J, Grover Davinder
Аннотация
PURPOSE: To report a case of successful intraocular pressure (IOP) reduction after a 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) using the iTrack catheter in a patient with steroid-induced glaucoma as a result of treatment of vernal keratoconjunctivitis (VKC).
MATERIALS AND METHODS: Case report.
RESULTS: An 8-year-old male individual with a long-standing history of VKC, treated with topical steroids, developed elevated IOP and glaucoma in the right eye despite maximum topical glaucoma therapy. Reducing the steroid was not a viable option given the severity of VKC. A 360-degree GATT was successfully performed and IOP has been maintained off all glaucoma drops.
CONCLUSIONS: GATT is a viable option for steroid-induced glaucoma in the pediatric population. This obviates the need for riskier, more invasive conjunctival-based procedures.
MATERIALS AND METHODS: Case report.
RESULTS: An 8-year-old male individual with a long-standing history of VKC, treated with topical steroids, developed elevated IOP and glaucoma in the right eye despite maximum topical glaucoma therapy. Reducing the steroid was not a viable option given the severity of VKC. A 360-degree GATT was successfully performed and IOP has been maintained off all glaucoma drops.
CONCLUSIONS: GATT is a viable option for steroid-induced glaucoma in the pediatric population. This obviates the need for riskier, more invasive conjunctival-based procedures.
Предметные рубрики MeSH
Anti-Allergic AgentsAntihypertensive AgentsChildConjunctivitis, AllergicDrug Therapy, CombinationFollow-Up StudiesGlaucoma, Open-AngleGlucocorticoidsGonioscopyHumansImmunosuppressive AgentsIntraocular PressureLoteprednol EtabonateMaleRetrospective StudiesSurgery, Computer-AssistedTrabeculectomyTreatment Outcome