Results of treatment of glaucoma associated with aniridia
Filous, A.; Odehnal, M.; Brůnová, B.
Ceska a Slovenska Oftalmologie Casopis Ceske Oftalmologicke Spolecnosti a Slovenske Oftalmologicke Spolecnosti 54(1): 18-21
1998
ISSN/ISBN: 1211-9059 PMID: 9501639 Document Number: 496637
The authors evaluate retrospectively the therapeutic results in secondary glaucoma with aniridia in 11 children (22 eyes) investigated since 1985. The mean age of the patients was 6.8 years. The examination under general anaesthesia was made in 10 children already during their first year and check-up examinations followed after 3-6 month intervals. Treatment of glaucoma was started by medicamentous therapy. If the effect was inadequate, cyclocryotherapy and trabeculectomy were used. Thirteen eyes are compensated by medicamentous treatment only, while surgical intervention was necessary in nine eyes of five children. A total of 20 operations were made, 12 times cyclocryotherapy and 8 times trabeculectomy, whereby the glaucoma is at present compensated in six operated eyes. A total of 19 eyes are compensated. The mean follow up period is 47 months in the operated patients and seven years in patients having medicamentous therapy. The analysis revealed that secondary glaucoma in aniridia can be compensated by mere medicamentous treatment for a number of years. If surgery is inevitable, cyclocryotherapy and trabeculectomy are only relatively successful.