alexa Sturge-Weber syndrome: management of glaucoma with combined trabeculotomy-trabeculectomy.


Glaucoma: Open Access

Author(s): Agarwal HC, Sandramouli S, Sihota R, Sood NN

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Abstract We reviewed the records of 16 patients (19 eyes) with Sturge-Weber syndrome (SWS). Scleral pigmentation was present in 12 (63.2\%) of these eyes; nevus of Ota in two (10.6\%). Combined trabeculotomy-trabeculectomy was performed in 18 eyes. After a mean follow up of 42 months (range, 1 to 8 years), intraocular pressure was controlled (< or = 22 mm Hg) in 11 eyes (61.1\%), and visual acuity was better than 6/60 in eight. Intraoperative hyphema occurred in four eyes (22.2\%); vitreous loss in three (16.7\%). Postoperative choroidal detachment occurred in three eyes (16.7\%); vitreous hemorrhage in one (5.6\%). In all of the cases of repeat surgery (three eyes), postoperative subconjunctival injections of 5-fluorouracil resulted in a diffuse filtering bleb. We conclude that combined trabeculotomy-trabeculectomy is a promising treatment for patients with SWS with glaucoma.
This article was published in Ophthalmic Surg and referenced in Glaucoma: Open Access

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