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Are glaucoma drainage devices safe for children suffering from uveitic glaucoma?


Title of Article: Glaucoma Drainage Device surgery outcomes in children with uveitic glaucoma


What are the key takeaway points from this article?

The study evaluated the outcomes of glaucoma drainage device (GDD) implantation in 50 eyes of 36 children with uveitic glaucoma. The success criteria were defined as intraocular pressure (IOP) between 5 and 21 mmHg. The mean follow-up was 113 months, and the mean age at surgery was 10.1 years. The cumulative probabilities of success were 0.98 (0.86 - 1.00) at 1 year, 0.87 (0.73-0.94) at 5 years, and 0.59 (0.32-0.78) at 15 years. Postoperative complications occurred in 36% of patients, but visual acuity remained stable, and IOP was significantly reduced from 31.4 to 14.4 mmHg. The study concluded that GDD implantation is a successful treatment option for refractory pediatric uveitic glaucoma, with visual function maintained in the majority of cases. However, further interventions may be required to manage consequences of glaucoma or the underlying disease.


Publication Date: March 2023


Reference: Gkaragkani E, Jayaram H, Papadopoulos M, et al. Glaucoma Drainage Device surgery outcomes in children with uveitic glaucoma [published online ahead of print, 2023 Feb 21]. Am J Ophthalmol. 2023;S0002-9394(23)00050-8. doi:10.1016/j.ajo.2023.02.004


Summary by: Maya Alik

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