Early Experience with the Paul Glaucoma Implant in Childhood Glaucoma: A Case Series

被引:6
作者
Elhusseiny, Abdelrahman M. [1 ,2 ]
Khodeiry, Mohamed M. [3 ,4 ]
Lee, Richard K. [4 ]
Shaarawy, Tarek [5 ]
Waqar, Salman [6 ]
Sayed, Mohamed S. [6 ]
机构
[1] Univ Arkansas Med Sci, Harvey & Bernice Jones Eye Inst, Dept Ophthalmol, Little Rock, AR USA
[2] Boston Childrens Hosp, Dept Ophthalmol, Boston, MA USA
[3] UPMC Childrens Hosp Pittsburgh, Dept Ophthalmol, Pittsburgh, PA USA
[4] Univ Miami, Bascom Palmer Eye Inst, Dept Ophthalmol, Miller Sch Med, Miami, FL USA
[5] Univ Geneva, Hop Univ Geneve, Dept Ophthalmol, Geneva, Switzerland
[6] Moorfields Eye Hosp, Glaucoma Div, Dubai, U Arab Emirates
关键词
glaucoma; pediatric; intraocular pressure; tube; Paul glaucoma implant;
D O I
10.2147/OPTH.S414183
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: The Paul glaucoma implant (PGI, Advanced Ophthalmic Innovations, Singapore, Republic of Singapore) is a recently developed novel non-valved glaucoma drainage device (GDD) designed to effectively reduce the intraocular pressure (IOP) in glaucoma patients with a theoretically reduced risk of postoperative complications such as hypotony, endothelial cell loss, strabismus, and diplopia. Limited literature has evaluated its use in adult glaucoma; however, its use in pediatric glaucoma has not been reported to date. We present our early experience with PGI in refractory childhood glaucoma.Patients and Methods: This study was retrospective single-surgeon case series in a single tertiary center. Results: Three eyes of 3 patients with childhood glaucoma were enrolled in the study. During nine months of follow-up, postoperative IOP and number of glaucoma medications were significantly lower than preoperative values in all the enrolled patients. None of the patients developed postoperative complications including postoperative hypotony, choroidal detachment, endophthalmitis, or corneal decompensation. Conclusion: PGI is an efficient and relatively safe surgical treatment option in patients with refractory childhood glaucoma. Further studies with larger number of participants and longer follow-up period are required to confirm our encouraging results.
引用
收藏
页码:1939 / 1944
页数:6
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