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NR 1-3/2007
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Ocena skuteczności
leczenia jaskry w przebiegu zespołu Sturge’a-Webera
The evaluation of the
efficacy of treatment in glaucoma associated with Sturge-Weber
syndrome
Monika Oziębło-Kupczyk, Beata Urban,
Małgorzata Mrugacz, Alina Bakunowicz-Łazarczyk
Z Kliniki Okulistyki Dziecięcej Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. n. med. Alina Bakunowicz-Łazarczk |
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| Summary: |
Purpose: To estimate the
efficiency of glaucoma treatment in Sturge-Weber
syndrome.
Material and methods: 4 patients with Sturge-Weber
syndrome and the consecutive glaucoma seen at the
Department of Ophthalmology in Bialystok between the
years 1999-20005, were reviewed. Glaucoma associated
with Sturge-Weber syndrome was diagnosed at the age of 6
months in 1 patient, of 10-11 years in 2 patients and of
14 years in 1 patients. All patients underwent surgery.
2 eyes underwent trabeculectomy and 2 eyes had
nonpenetrating deep sclerectomy with SKGel implant.
Results: Before the surgery the intraocular pressure was
35.2 mmHg (range from 25 to 48 mmHg). All patients
required antiglaucoma medications after surgery to keep
intraocular pressure less than 22 mmHg. After surgery
the mean intraocular pressure was 26.25 mmHg (range from
22 to 32 mmHg). 2 patients required 2 medications:
Betoptic, and/or Trusopt, and/or Xalatan and 2 patients
required 1 medication. After antiglaucoma medications
mean IOP was 15.2 mmHg (range from 12 to 18 mmHg).
Conclusion: The results of therapy for glaucoma
associated with the Sturge-Weber syndrome are often
disappointing. |
| Słowa kluczowe: |
fakomatoza, jaskra wtórna,
trabekulektomia. |
| Key words: |
phacomatosis, consecutive
glaucoma, trabeculectomia. |
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