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2017 ; 255
(5
): 1003-1011
Nephropedia Template TP
gab.com Text
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English Wikipedia
Glaucoma drainage device surgery in children and adults: a comparative study of
outcomes and complications
#MMPMID28144751
Mandalos A
; Sung V
Graefes Arch Clin Exp Ophthalmol
2017[May]; 255
(5
): 1003-1011
PMID28144751
show ga
PURPOSE: To compare the postoperative outcomes and complications of glaucoma
drainage device (GDD) surgery in pediatric (<18 years old) and adult patients.
METHODS: Retrospective, comparative study including all patients who underwent
Baervedlt or Molteno device surgery by the same surgeon. Success criteria
included postoperative intraocular pressure (IOP) between 6 and 21 mmHg and a 20%
reduction from baseline. RESULTS: Fifty-two children (69 eyes) and 130 adults
(145 eyes) were included. Mean IOP and number of medications were significantly
reduced postoperatively in both groups. Overall failure rate was similar in
children and adults. However, GDD failed earlier in adults than in children.
Hypotony was the most common complication in both groups in the first 6 months
postoperatively. Later on, bleb encapsulation was more frequent in children,
while corneal decompensation tended to be more frequent and occurred earlier in
adults. Children also had a higher rate of infectious endophthalmitis and
required tube repositioning more frequently than adults. CONCLUSIONS: GDD surgery
presents different postoperative challenges in children and adults, and the
surgeon should remain vigilant for complications throughout the postoperative
period, especially for signs of endophthalmitis or bleb encapsulation in
pediatric patients. On the other hand, adults may be more prone to early corneal
decompensation.