Angle Surgery in Pediatric Glaucoma Following Cataract Surgery
Abstract
:1. Introduction
2. Historical Development of Angle Surgery Techniques
3. Goniotomy vs. Trabeculotomy as Initial Procedure
4. Microcatheter Trabeculotomy
5. Degree of Schlemm Canal Manipulation and Efficacy
6. Two-Site Rigid Probe Trabeculotomy
7. Discussion
Funding
Conflicts of Interest
References
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Study | Design | Number of Surgeons | Location | Study Period | Number of GFCS Eyes Receiving Angle Surgery | Gender | Laterality | Ethnicity | Pre-Operative Lens Status | Type of Procedure | Mean Age at Surgery (SD) | Time After Cataract Surgery (SD) |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Chen et al. (2004) [12] | Retrospective Chart Review | N/A | USA | 1970–2002 | 24 | N/A | N/A | N/A | 24 Aphakic | Goniotomy & Rigid Probe Trabeculotomy | N/A | N/A |
Bothun et al. (2010) [51] | Retrospective Chart Review | 4 | USA | 1990–2006 | 14 | N/A | 10 OD 4 OS | N/A | N/A | Goniotomy and/or Rigid Probe Trabeculotomy (Lateral 180° Initially, repeat Nasal 180°) | Median 3 years; (range: 3 months to 9.5 years) | Median 2.9 years (range 3 months to 9 years) |
Bothun & Hansen (2011) [52] | Three-Patient Case Series | 1 | USA | N/A | 1 | M | OS | N/A | Aphakic | 300° Microcatheter Trabeculotomy and Anterior Vitrectomy | 5 months | 1 month |
Beck et al. (2011) [53] | Retrospective Chart Review | N/A | Atlanta, GA, USA | July 1989–Aug. 2003 | 4 | N/A | N/A | N/A | N/A | 360° Suture Trabeculotomy | 5.0 months (25th percentile: 3.0 months, 75th percentile 14.5 months) | N/A |
Dao et al. (2014) [54] | Retrospective Chart Review | 2 | Durham, NC & Oklahoma City, OK, USA | Feb 2008–Dec 2011 | 13 | 10 M 3 F | N/A | 10 W 2 B 1 A | 10 Aphakic 3 Pseudophakic | 360° Microcatheter Trabeculotomy | 3.1 years | N/A |
Lim et al. (2015) [55] | Retrospective Chart Review | N/A | Indiana, USA | 2000–2012 | 3 | N/A | N/A | N/A | N/A | 360° Microcatheter Trabeculotomy | N/A | N/S |
Lim et al. (2017) [56] | Retrospective Chart Review | 1 | USA | Feb. 2008–June 2015 | 25 | N/A | N/A | N/A | 21 Aphakic 4 Pseudophakic | 360° Microcatheter Trabeculotomy | 5.6 years (5.6); Median 3.4 (range 0.3–20.5 years) | N/A |
El Sayed et al. (2020) [57] | Prospective, Institutional Observational Study | 3 | Cairo, Egypt | Jan. 2015–June 2018 | 29 | 12 M 17 F | 10 OD 19 OS | 29 W (Middle Eastern) | 16 Aphakic 13 Pseudophakic | Two-Site Rigid Probe Trabeculotomy (180-360°) | 5.73 years (1.79) | 3.47 months (1.1) |
Rojas et al. (2020) [58] | Retrospective Chart Review | 1 | Ann Arbor, MI, USA | Jan. 2013–July 2019 | 15 | 8 M 10 F | 7 OD 8 OS | 8 W 5 AA 2 A | 12 Aphakic 3 Pseudophakic | 180°–360° Microcatheter Trabeculotomy | 7.8 years (5.8) | 3.4 months (1.1) |
Study | Mean Pre-Operative IOP in mmHg (SD) | Mean Pre-Operative Number of Topical IOP-Lowering Agents (SD) | Average Length of Follow-up (SD) | Mean IOP at Latest Post-Operative Follow-Up Visit (SD) | Mean Number of Topical IOP-Lowering Agents at latest Post-Operative Follow-Up Visit (SD) | IOP Reduction p-Value | Topical IOP Lowering Agent Number Reduction p-Value | Definition of Success | Number of Eyes Achieving Success | Number of Eyes Achieving IOP Control Without Topical Therapy | Complications Requiring Intervention | Time After Cataract Surgery (SD) |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Chen et al. (2004) [12] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | IOP ≤ 21 mmHg with or without medications and no need for further surgery | 16(16%) | N/A | N/A | N/A |
Bothun et al. (2010) [51] | 35 mmHg (10) | N/A | 4.7 years | 22 mmHg (4) | N/A | p = 0.0005 | N/A | IOP ≤ 24 mmHg with or without topical medication, lack of sight-threatening complication, avoidance of trabeculectomy or tube shunt | 8 (57.1%) | N/A | Subretinal prolene suture passing, removed uneventfully | None |
Bothun & Hansen (2011) [52] | N/A | N/A | Case1: 18 months Case2: 18 months Case 3: 7 months | Case1: <20 mmHg Case2: <25 mmHg Case 3: <22 mmHg | Case1: dorzolamide and timolol Case2:0 Case3: 0 | N/A | N/A | Case1: IOP < 20 mmHg Case2: IOP < 25 mmHg Case 3: IOP < 22 mmHg | Cases 1,2 and 3: 3 (100%) | 2 (66.7%) | Cases 1,2 and 3: The patient recovered without complications or further surgery. | N/A |
Beck et al. (2011) [53] | 33.0 mmHg (7.2) | N/A | 1.6 years (25th percentile 0.3, 75th percentile 3.7) | 21.8 mmHg (5.3) | N/A | N/A | N/A | IOP < 22 mmHg with allowance for maximum medical therapy with stable cup-to-disc ratio (within 0.1 of pre-operative value) and no further surgery | 3 (75%) | 2 (50%) | N/A | N/A |
Dao et al. (2014) [54] | 35.4 mmHg (4.7) [35.5 mmHg (3.9) in successful eyes] | Median 2.5 [2.8 in successful eyes] | Median 30 months (range 6 to 47) | 21.9 mmHg (8.6) [15.4 (3.3) in successful eyes] | 1.9 (in successful eyes) | p = 0.0004 [p < 0.0001 in successful eyes] | p = 0.07 | IOP < 22 mmHg with > 30% reduction without disease progression, oral glaucoma medication, or additional glaucoma surgery | 8 (62%) | N/A | Vitreous Hemorrhage in 2 eyes requiring PPV | Transient Choroidal Effusion in setting of Hypotony |
Lim et al. (2015) [55] | Traditional group, 28.75 mmHg (8.80); 360-degree group, 30.35 mmHg (6.04). | Traditional group, 0.87 (1.03); 360-degree group, 1.07 (0.83). | 1 Year | Traditional group, 17.05 mmHg (5.92); 360-degree group, 11.0 mmHg (2.31). | N/A | all p < 0.01 | N/A | Surgical failure was defined as the need for additional glaucoma procedure(s) after initial trabeculotomy | Traditional group, 45 (58.44%); 360-degree group, 12 (85.71%). | N/A | N/A | N/A |
Lim et al. (2017) [56] | 31.5 mmHg (7.5) | 3.0 (1) | 31.9 months (26.1) | 19.7 mmHg (7.7) [15.6 (3.9) in successful eyes] | 2.4 (1.1) | p < 0.001 | p = 0.015 | IOP ≤ 22 mmHg or IOP reduction > 20% from baseline, with or without topical glaucoma medications, considered adequate for glaucoma severity without additional glaucoma surgery or devastating complication | 18 (72%) | 2 | Vitreous Hemorrhage in 2 eyes requiring PPV, 1 of which also required ECP | None |
El Sayed et al. (2020) [57] | 26.8 mmHg (8.2) | 2.34 (1.02) | 16.9 months | 14.1 mmHg (3.1) | 0.6 (1.1) | p < 0.001 | p < 0.001 | IOP < 23 mmHg or 30% IOP reduction on same number or fewer topical medications without need for additional procedure | 26 (89.6%) | 15 (45.5%) | Vitreous hemorrhage requiring PPV; progressive myopic shift requiring IOL exchange | None |
Rojas et al. (2020) [58] | 27.1 mmHg (7.0) | 3.6 (0.7) | 3.3 years (2.4) | 15.3 mmHg (3.9) | 1.4 (1.2) | p < 0.001 | p = 0.002 | IOP 5–20 mmHg, no additional IOP-lowering surgery | 14 (93.3%) | N/A | Vitreous Hemorrhage Requiring PPV | None |
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Jamerson, E.C.; Solyman, O.; Yacoub, M.S.; Abushanab, M.M.I.; Elhusseiny, A.M. Angle Surgery in Pediatric Glaucoma Following Cataract Surgery. Vision 2021, 5, 9. https://doi.org/10.3390/vision5010009
Jamerson EC, Solyman O, Yacoub MS, Abushanab MMI, Elhusseiny AM. Angle Surgery in Pediatric Glaucoma Following Cataract Surgery. Vision. 2021; 5(1):9. https://doi.org/10.3390/vision5010009
Chicago/Turabian StyleJamerson, Emery C., Omar Solyman, Magdi S. Yacoub, Mokhtar Mohamed Ibrahim Abushanab, and Abdelrahman M. Elhusseiny. 2021. "Angle Surgery in Pediatric Glaucoma Following Cataract Surgery" Vision 5, no. 1: 9. https://doi.org/10.3390/vision5010009