NR 3-4/2002
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Rozwój gałki ocznej u dzieci z pierwotną
jaskrą wrodzoną po trabekulektomii
Eyegrowth in children with primary congenital glaucoma
after trabeculectomy
Bronisława Koraszewska-Matuszewska, Elżbieta Smochowiec-Donocik
Z Katedry i Kliniki Okulistyki Dziecięcej Śląskiej Akademii Medycznej w Katowicach
Kierownik: prof. dr hab. n. med. Bronisława Koraszewska-Matuszewska |
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| Summary: |
Purpose: evaluation of the influence of
intraocular pressure (IOP) after trabeculectomy on the axial length and refraction of
eyeballs in children with primary congenital glaucoma.
Material and methods: thirty six eyes of 23 children at the age from 7
days to 6,5 years (mean 17,1 months), were examined. Measurements of corneal diameter,
axial length, IOP and refraction were done before trabeculectomy and in the long-term
follow-up (mean 7,9 years) after surgery.
Results: horizontal corneal diameter didn't change and ranged from 10 to
15 mm, mean 13,22 mm. Mean value of axial length before trabeculectomy was 22,45 mm and
23,27 mm at last visit. The difference was statistically significant. The axis decreased
in 3 eyes, was the same in 3 eyes. In the others the eyegrowth changed proportionally to
the age of child. IOP values were statistically lower after surgery (mean 16 mmHg) than
before treatment (mean 35.51 mmHg). There was no correlation between IOP and axial length
of eyeballs (p = 0,69) and between IOP and refraction changes (p = 0,42) in the long-term
follow-up.
Conclusions: There is small influence of normalised IOP after
trabeculectomy on size of eyeballs and refraction in children with primary congenital
glaucoma. The development of eyeballs even buphthalmic is proportionally to the age. |
| Słowa kluczowe: |
pierwotna jaskra wrodzona, dzieci, trabekulektomia, ciśnienie
wewnątrzgałkowe, średnica rogówki, długość osiowa gałek ocznych, refrakcja. |
| Key words: |
primary congenital glaucoma, children, trabeculectomy,
intraocular pressure, corneal diameter, axial length, refraction. |
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