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Goniotomy, glaucoma drainage devices control IOP in juvenile uveitic glaucoma
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Goniotomy and implantation of a glaucoma drainage device successfully manage refractory juvenile uveitic glaucoma, according to a study.
The retrospective case series included 36 patients with juvenile uveitic glaucoma who underwent one or more surgeries to lower IOP. Nineteen patients had surgery in both eyes, but the first eye operated on in each patient was analyzed for the case series.
The primary endpoint was an IOP lower than 21 mm Hg with controlled inflammation and no additional IOP-lowering surgery.
In 31 eyes, goniotomy was the initial surgical procedure. Fifteen eyes did not require additional IOP-lowering surgery, and 16 eyes required additional surgery. Due to closed angles, five eyes had initial implantation of a glaucoma drainage device. Four eyes did not require additional IOP-lowering surgery, and one eye had a tube replaced.
Overall initial IOP of 33 ± 8 mm Hg was reduced after surgery to 12.6 ± 4.5 mm Hg (P < .0001)
At the last follow-up, IOP was controlled in 34 eyes.
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