Success Rate Of Trabeculectomy Ab Interno Surgery With The Trab360 Device For Childhood Glaucoma
Published 2022
- 40th Congress of the ESCRS
Reference: PO385
| Type: Free paper
| DOI:
10.82333/sd1c-hr09
Authors:
Mohamed Kamel* 1
, mahmoud ashour 2
1ain shams univeristy , ain shams univeristy ,ain shams univeristy , ain shams univeristy ,Cairo,Egypt, 2ain shams univeristy ,ain shams univeristy ,Cairo,Egypt
Purpose
To document consequences and complications of trabeculotomy ab intern surgery using the Trab360 device, in eyes with childhood glaucomas
Setting
demardash hospital ain shams univeisty cairo egypt
Methods
Eyes with childhood glaucoma that underwent Trab360 with at least 6 months follow-up were evaluated. Postoperative intraocular pressure (IOP) less than or equal to 23mm Hg with or without medications and no additional surgery defined success.
Results
39 eyes of 39 patients were included. Median age at surgery was 12 months 54% prior to 20 months. 43% were right eyes; 56 % were male. Mean treatment was 290°. Median follow-up was 13.3 months . Median preoperative IOP was 37mm Hg median postoperative IOP was 15 mm Hg. Median number of preoperative glaucoma medications was 2.5; median number postoperatively was 2 . Success was achieved in 71.1% of eyes. Among 39 eyes for which Trab360 was the first glaucoma surgery, success rate was 67% Success was achieved in 81% of primary congenital glaucoma (PCG) eyes. Among 17 PCG eyes for which Trab360 was the first glaucoma surgery, success rate was 78.1% .one eyes (2.1%) suffered cyclodialysis.with no other complications
Conclusions
we revealed Trab360 success look like literature on other angle surgeries for childhood glaucoma’s. Good surgical technique and caution in high-risk angles is imperative to avoid cyclodialysis. Our study is limited by the imperfections inherent in any retrospective analysis. Single-incision ab interno trabeculotomy with the Trab360 device is effective and safe for treating childhood glaucomas, especially PCG