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NR 4-6/2006
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Jaskra w zespole
Sturge-Webera u dzieci – skuteczność cyklofotokoagulacji oraz
tradycyjnych metod terapeutycznych
Childhood glaucoma
associated with Sturge-Weber syndrome – the efficacy of
cyclofotocoagulation and other therapeutic methods
Beata Kocyła-Karczmarewicz, Dorota
Klimczak-Ślączka, Mirosława Grałek, Barbara Chipczyńska
Z Kliniki Okulistyki Instytutu Pomnik – Centrum Zdrowia Dziecka
w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose:
Sturge-Weber syndrome is a rare congenital
neurooculocutaneous disorder. Ocular involvement can
include glaucoma and vascular malformations of the
conjunctiva, episclera, choroid and retina.
Material and methods: 16 children (16 eyes) with
Sturge-Weber syndrome associated with glaucoma (mean age
– 34 month, mean follow up 8.87 years) treated in our
institution, were reviewed. In retrospective analysis
were assessed: IOP and postoperative complications after
diode laser cyklophotocoagulation (16 eyes ), after
trabeculectomy (6 eyes) and trabeculectomy with MMC (3
eyes).
Results: In ten eyes (62.5%) good result (IOP
6-22 mmHg) post cyclophotokoagulation – (3x) was
recorded, as well as in 3 eyes (50%) post trabeculectomy
and in 3 eyes (100%) post trabeculectomy with MMC 0.2/4
min. No postoperative complications occured in
cyclophotocoagulation group. Complications after
trabeculectomy were the following: 3 cases of hypotony,
4 cases with shallow anterior chamber and 5 with
choroidal effusions .
Conclusions: Diode laser cyclophotocoagulation
combined with topical medication is an effective and
safe treatment of glaucoma in children with Sturge-Weber
syndrome. |
| Słowa kluczowe: |
jaskra, zespół
Sturge-Webera, fakomatozy, cyklofotokoagulacja
poprzeztwardówkowa laserem diodowym, trabekulektomia. |
| Key words: |
glaucoma, Sturge-Weber
syndrome, phacomatosis, diode laser
cyclophotocoagulation, trabeculectomy. |
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