Analysis of surgical and medical management of glaucoma in Sturge-Weber syndrome

Management of glaucoma associated with Sturge-Weber syndrome (SWS) is difficult. The authors reviewed 36 eyes of 30 SWS patients with either early or late-onset glaucoma with a mean follow-up of 122 months (range, 24-253 months). Intervals between required surgical or medical interventions were anal...

Full description

Saved in:
Bibliographic Details
Published inOphthalmology (Rochester, Minn.) Vol. 97; no. 7; p. 904
Main Authors Iwach, A G, Hoskins, Jr, H D, Hetherington, Jr, J, Shaffer, R N
Format Journal Article
LanguageEnglish
Published United States 01.07.1990
Subjects
Adolescent
Adult
Angiomatosis - complications
Child
Child, Preschool
Follow-Up Studies
Glaucoma - drug therapy
Glaucoma - etiology
Glaucoma - surgery
Humans
Infant
Intraocular Pressure - drug effects
Laser Therapy
Ophthalmic Solutions - therapeutic use
Prognosis
Retrospective Studies
Sturge-Weber Syndrome - complications
Trabeculectomy
Visual Acuity
Online AccessGet more information

Cover

More Information
Summary:Management of glaucoma associated with Sturge-Weber syndrome (SWS) is difficult. The authors reviewed 36 eyes of 30 SWS patients with either early or late-onset glaucoma with a mean follow-up of 122 months (range, 24-253 months). Intervals between required surgical or medical interventions were analyzed. Intervention was attributed to elevated intraocular pressure (IOP) in 55% of cases and disc change in 45%. Median stable postoperative interval with goniotomy was 12 months; with trabeculotomy, 21 months; with trabeculectomy, 34 months; with argon laser trabeculoplasty, 25 months; and with medications, 57 months. Survival analysis shows statistically significant differences between goniotomy and medications. Intraoperative choroidal expansions developed in 24% of cases receiving a trabeculectomy, and none developed with either goniotomy or trabeculotomy.
ISSN:0161-6420
DOI:10.1016/s0161-6420(90)32483-1