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العنوان
Outcome of surgical therapy for glaucoma after congenital cataract surgery in alexandria main university hospital/
المؤلف
Abdelfattah, Reham Mohamed Nour Eldeen.
هيئة الاعداد
باحث / ريهام محمد نور الدين عبد الفتاح
مشرف / حسين لطفي بيومي
مشرف / الحميد شاكر الحوفي
مشرف / رباب محمد السحت
الموضوع
Ophthalmology.
تاريخ النشر
2024.
عدد الصفحات
54 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
28/12/2023
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Ophthalmology
الفهرس
Only 14 pages are availabe for public view

from 66

from 66

Abstract

Childhood glaucomas are serious and common eye condition. The Childhood Glaucoma Research Network (CGRN) developed a classification system to improve understanding and treatment. Pediatric cataract is considered one of the leading causes of childhood blindness and should be managed early.
Complications of congenital cataract surgery include posterior capsular opacity, bleeding, inflammation, infection, retinal detachment, and amblyopia. Glaucoma is a common complication. Although nearly 33% of cases can be diagnosed during the first year after cataract surgery, glaucoma may occur years or even decades afterward. Glaucoma following congenital cataract surgery can be open-angle or angle-closure. Medications are the first-line treatment, and surgery may be necessary if medications fail. Trabeculotomy, trabeculotomy combined with trabeculectomy, glaucoma drainage devices (GDD), and also cyclodestructive procedures are surgical options.
The aim of this study was to report on the outcome of glaucoma surgery in children’s eyes operated upon for glaucoma after congenital cataract surgery. We reviewed the charts of 49 children who developed glaucoma after undergoing congenital cataract surgery. The collected data included demographic information, family history, details of clinical examinations, operative details, complications, as well as postoperative data.
The patients’ demographic data showed a distribution of 28 boys (57%) and 21 girls, highlighting a slight male predominance. Consanguinity was reported in 63.3% of cases, which could mean that there may be a genetic element predisposing the eyes to develop glaucoma even though only 14% of cases had a positive family history, and just one c