본문 바로가기
KERD
논문KCI 등재

Congenital Glaucoma from Sturge-Weber Syndrome: A Modified Surgical Approach

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류안과학

초록

Sturge-Weber syndrome (SWS) is a rare congenital neurocutaneous disorder that causes congenital glaucoma. Previous experiences have shown that drainage procedures are often required to control associated glaucoma. The conventional surgical approach in trabeculectomy carries a significant risk of intraoperative expulsive hemorrhage. Here, we describe a modified approach of the conventional trabeculectomy technique, which may lower the risk of expulsive hemorrhage. A viscoelastic device was employed to maintain a steady intraocular pressure throughout the procedure. Details of the surgical technique and material used are described. One patient with congenital glaucoma associated with SWS underwent a successful trabeculectomy using the modified technique. Postoperative intraocular pressure was successfully reduced and no intraoperative complications occurred. We describe a successful case of trabeculectomy in a SWS case where a modified technique was applied.

Abstract

Sturge-Weber syndrome (SWS) is a rare congenital neurocutaneous disorder that causes congenital glaucoma. Previous experiences have shown that drainage procedures are often required to control associated glaucoma. The conventional surgical approach in trabeculectomy carries a significant risk of intraoperative expulsive hemorrhage. Here, we describe a modified approach of the conventional trabeculectomy technique, which may lower the risk of expulsive hemorrhage. A viscoelastic device was employed to maintain a steady intraocular pressure throughout the procedure. Details of the surgical technique and material used are described. One patient with congenital glaucoma associated with SWS underwent a successful trabeculectomy using the modified technique. Postoperative intraocular pressure was successfully reduced and no intraoperative complications occurred. We describe a successful case of trabeculectomy in a SWS case where a modified technique was applied.

참고문헌 (9)

  1. Iwach AG, "Analysis of surgical and medical management of glaucoma in Sturge-Weber syndrome", Ophthalmology, 97, pp.904~909 (1990)
  2. Keverline PO, "Trabeculectomy for adolescent onset glaucoma in the Sturge-Weber syndrome", J Pediatr Ophthalmol, 13, pp.144~148 (1976)
  3. Bellows AR, "Choroidal effusion during glaucoma surgery in patients with prominent episcleral vessels", Arch Ophthalmol, 97, pp.493~497 (1979)
  4. Ali MA, "Trabeculectomy for glaucoma associated with Sturge-Weber syndrome", Ophthalmic Surg, 21, pp.352~355 (1990)
  5. Audren F, "Non-penetrating deep sclerectomy for glaucoma associated with Sturge-Weber syndrome", Acta Ophthalmol Scand, 84, pp.656~660 (2006)
  6. Taylor DM, "Expulsive hemorrhage", Am J Ophthalmol, 78, pp.961~966 (1974)
  7. Eibschitz-Tsimhoni M, "Assessing the need for posterior sclerotomy at the time of filtering surgery in patients with Sturge-Weber syndrome", Ophthalmology, 110, pp.1361~1363 (2003)
  8. Lane D, "Effect of Healon and Viscoat on outflow facility in human cadaver eyes", J Cataract Refract Surg, 26, pp.277~281 (2000)
  9. Wu SC, "Reversal of optic disc cupping after trabeculotomy in primary congenital glaucoma", Can J Ophthalmol, 37, pp.337~341 (2002)

관련 논문AI추천

이 간행물의 다른 논문 (14건)