[Childhood glaucoma associated with Sturge-Weber syndrome --the efficacy of cyclofotocoagulation and other therapeutic methods].
OBJECTIVE
Sturge-Weber syndrome is a rare congenital neurooculocutaneous disorder. Ocular involvement can include glaucoma and vascular malformations of the conjunctiva, episclera, choroid and retina.


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.
Kocyła-Karczmarewicz
Beata
B
Kliniki Okulistyki Instytutu Pomnik, Centrum Zdrowia Dziecka w Warszawie.
Klimczak-Slaczka
Dorota
D
Grałek
Mirosława
M
Chipczyńska
Barbara
B
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D018463:Filtering Surgery / Q000379:methods; D005500:Follow-Up Studies; D005901:Glaucoma / Q000628:therapy*; D006801:Humans; D007223:Infant; D007429:Intraocular Pressure; D008028:Light Coagulation / Q000379:methods*; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D013341:Sturge-Weber Syndrome / Q000628:therapy*; D014130:Trabeculectomy / Q000379:methods; D016896:Treatment Outcome