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Surgery for glaucoma in patients with facial port wine mark

Journal of AAPOS Nov 24, 2020

Elwehidy AS, Bayoumi NHL, Elsayed EN, et al. - Researchers sought to report the outcomes of surgical treatment of glaucoma in patients with facial port wine mark presenting to the pediatric ophthalmology practice at a single institution over a 10-year period. In this study, they assessed outcomes in 21 eyes (10 right eyes) of 17 children (8 males) with glaucoma associated with facial port wine mark. Combined angle and filtering surgery with antimetabolite (mitomycin C) was performed on all study eyes; follow-up of the eyes was performed for 2 years. Randomization of eyes was performed for the angle component of the procedure to conventional trabeculotomy-trabeculectomy (CTT) or viscotrabeculotomy-trabeculectomy (VTT). Intraocular pressure (IOP) of 5–16 mm Hg with no vision-threatening complications defined the success. The study cohort had few postoperative complications linked with combined angle and filtering surgery with antimetabolites, which allowed effective management of raised IOP, especially when there was a modest response with medical treatment. The addition of viscoelastic to the procedure may result in attainment of additional benefits and may slightly limit intra- and postoperative complications.

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