关键词: Congenital glaucoma Gonioscopy – assisted transluminal trabeculotomy Klippel – Trenaunay - Weber Syndrome Congenital glaucoma Gonioscopy – assisted transluminal trabeculotomy Klippel – Trenaunay - Weber Syndrome

来  源:   DOI:10.1016/j.ajoc.2022.101734   PDF(Pubmed)

Abstract:
UNASSIGNED: To describe the case of a 9-year-old boy with congenital glaucoma secondary to Klippel - Trenaunay - Weber Syndrome (KTW) with a history of trabeculotomy in both eyes (BE) and further trabeculectomy in the left eye (LE) presented with high intraocular pressure (IOP) and progression in the LE despite maximum tolerated medical therapy.
UNASSIGNED: GATT surgery was performed firstly in the LE, followed by the right eye (RE) two months apart since the IOP in the RE started to increase later on. First post-operative day the IOP was under 15 mmHg. In the last visit, 6 months after the first surgery, IOPs were 10 and 11 mmHg RE and LE, on one fixed combination; slit lamp examinations were normal with wide open angles and a good view of the Schlemm\'s Canal (SC) posterior wall.
UNASSIGNED: GATT surgery can be done after failed incisional surgery in children with glaucoma secondary to KTW syndrome.
摘要:
UNASSIGNED:描述一例9岁男孩先天性青光眼继发于Klippel-Trenaunay-Weber综合征(KTW),有双眼小梁切开术(BE)和进一步的左眼小梁切除术(LE),尽管有最大的耐受药物治疗,但仍表现为高眼压(IOP)和发展。
未经批准:GATT手术首先在LE中进行,其次是右眼(RE)间隔两个月,因为RE中的IOP后来开始增加。术后第一天IOP低于15mmHg。在最后一次访问中,第一次手术后6个月,IOP分别为10和11mmHgRE和LE,在一个固定组合上;裂隙灯检查是正常的,开角很宽,并且可以很好地观察Schlemm运河(SC)后壁。
UNASSIGNED:GATT手术可以在KTW综合征继发青光眼的儿童手术失败后进行。
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