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. 2018 Jun;22(3):188-191.
doi: 10.1016/j.jaapos.2018.01.014. Epub 2018 Apr 27.

Long-term efficacy of endoscopic cyclophotocoagulation in the management of glaucoma following cataract surgery in children

Adam J Cantor  1 , Jingyun Wang  2 , Shanshan Li  3 , Daniel E Neely  4 , David A Plager  4
Affiliations

Long-term efficacy of endoscopic cyclophotocoagulation in the management of glaucoma following cataract surgery in children

Adam J Cantor et al. J AAPOS. 2018 Jun.

Abstract

Purpose: To report the long-term efficacy of endoscopic cyclophotocoagulation (ECP) in pediatric glaucoma following cataract surgery (GFCS).

Methods: ECP was performed on 35 eyes of 25 patients <16 years of age with GFCS. Patients were followed for a minimum of 2 years. Treatment failure was defined as consecutive postoperative intraocular pressure (IOP) of >24 mm Hg, alternative glaucoma procedure following ECP, or occurrence of visually significant complications. Analysis was performed to estimate risk factors for failure.

Results: A total of 27 aphakic and 8 pseudophakic eyes were included. Pretreatment IOP averaged 33.9 ± 7.9 mm Hg. Final IOP after a mean follow-up period of 7.2 years was 18.9 ± 8.8 mm Hg (P < 0.001). The success rate was 54% (19/35 eyes). The failure rate was not increased in pseudophakic patients relative to aphakic patients. Patients with single ECP demonstrated preserved visual acuity from baseline to final follow-up.

Conclusions: In this patient cohort, with average follow-up period of 7.2 years, ECP was useful in the treatment of pediatric GFCS.

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Figures

Figure 1.
Figure 1.
Mean baseline and postoperative IOP (with standard deviation) plotted over time in eyes which received single ECP treatment versus eyes that received multiple surgeries.
Figure 2.
Figure 2.
Mean baseline and postoperative IOP (with standard deviation) plotted over time in successful and failed eyes.
Figure 3.
Figure 3.
Survival analysis demonstrating time to first treatment failure.
Figure 4.
Figure 4.
Survival analysis demonstrating time to second treatment failure.
See this image and copyright information in PMC

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