This article is more than 5 years old. Information may no longer be current.
Novel combined procedure may treat aphakic glaucoma patients intolerant of contact lenses
Click Here to Manage Email Alerts
SAN ANTONIO — Combined secondary IOL placement with endocyclophotocoagulation is a novel approach to treating a subset of patients with aphakia, glaucoma and an inability to tolerate aphakic contact lenses or spectacles, according to a presentation here.
The retrospective case series at Children's Hospital of Philadelphia, included 11 eyes of seven patients who underwent IOL placement and endocyclophotocoagulation laser, Javaneh Abbasian, MD, and colleagues reported in a poster at the American Association for Pediatric Ophthalmology and Strabismus meeting. Mean follow-up was 16.8 months.
Children were excluded if they had undergone previous glaucoma procedures.
"Some aphakic children fail optical correction with contact lens and aphakic spectacles, putting them at risk of amblyopia and a poor visual outcome," the researchers said. "A subset of these children suffer from aphakic glaucoma, which can further complicate refractive correction and require multiple anti-hypertensive medications."
Seven of 11 eyes required no anti-hypertensive medications postoperatively, two of 11 eyes required subsequent tube shunt placement, and there were no intraoperative complications.
Visual acuity was stable or improved with IOL implantation and subsequent amblyopia therapy, the researchers said, but long-term follow-up is still needed to evaluate the efficacy and safety of this combined procedure.
- Disclosure: Dr. Abbasian has no relevant financial disclosures.