Results of trabeculotomy and guarded filtration procedure for glaucoma associated with Sturge-Weber syndrome.
OBJECTIVE
To assess the efficacy of trabeculotomy and guarded filtration procedure in the management of glaucoma associated with the Sturge-Weber syndrome.


METHODS
Six patients (seven eyes) with Sturge-Weber syndrome who underwent glaucoma surgery were retrospectively reviewed. One patient had bilateral glaucoma. Age at the time of operation ranged between 23 days and 9 years. The mean preoperative intraocular pressure was 30.6 mmHg (range 25-38 mmHg). Trabeculotomy and guarded filtration procedure were performed in three eyes each and both techniques were used in one eye.


RESULTS
The mean follow-up was 6.3 (range 2-11) years. A single procedure lowered the intraocular pressure and arrested the progression of the disease in five eyes. Two patients required topical antiglaucoma medication. No patient needed reoperation. Two eyes suffered intra- and post-operative temporary choroidal effusions.


CONCLUSIONS
Trabeculotomy in infancy and guarded filtration procedure in older children effectively stabilized the eyes and prevented further glaucomatous damage in our patients with Sturge-Weber syndrome.
Irkeç
M
M
Department of Ophthalmology, Hacettepe University School of Medicine, Ankara, Turkey.
Kiratli
H
H
Bilgiç
S
S
D002648:Child; D002675:Child, Preschool; D018463:Filtering Surgery; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007429:Intraocular Pressure; D012189:Retrospective Studies; D013341:Sturge-Weber Syndrome / Q000150:complications*; D014130:Trabeculectomy; D016896:Treatment Outcome; D014792:Visual Acuity