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العنوان
Comparison of Safety and Efficacy of Collagen Matrix-Based Deep Sclerectomy and Gonioscopy-Assisted Transluminal Trabeculotomy in Primary Congenital Glaucoma/
المؤلف
Hossameldin, Merna Mostafa Nasef.
هيئة الاعداد
باحث / ميرنا مصطفى ناصف حسام الدين
مشرف / أحمد خليل إبراهيم خليل
مشرف / عبد الحميد شاكر الحوفي
مشرف / نادر حسين لطفي بيومي
تاريخ النشر
2024.
عدد الصفحات
55 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
15/5/2024
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Ophthalmology
الفهرس
Only 14 pages are availabe for public view

from 67

from 67

Abstract

Primary congenital glaucoma is a potentially blinding childhood condition, especially important in communities with substantial cases of consanguinity such as Egypt.
The aim of this study was to report on the efficacy and safety profiles of two of the most commonly-performed glaucoma surgeries at Alexandria Main University Hospital, Pediatric Glaucoma subdivision.
The study was conducted as a retrospective chart review of 66 eyes of 34 patients that had undergone deep sclerectomy (if cornea was cloudy preoperatively) or GATT (if the cornea was clear preoperatively). The sole determinant of which surgery was selected was the clarity of the cornea. The data collected from the records were preoperative and postoperative IOP, CD ratio, axial length, corneal diameter, refraction and any documentation of complications, adjunctive use of eyedrops and additional surgeries.
Success and failure rates were compared across the two surgical groups. As mentioned previously, GATT resulted in higher rates of absolute success and no reported re-interventions. Deep sclerectomy resulted in greater IOP reduction, however, at the cost of possibly more glaucoma interventions, eye drops use, and possibly higher risk of complications. Both surgeries, however, proved to reliably and safely lower the IOP to halt the progression of congenital glaucoma.