dc.contributor.author | Tønseth, Turid Skei | |
dc.contributor.author | Jakobsen, Jan Erik | |
dc.contributor.author | Tveit, Jon Henrik | |
dc.contributor.author | Jørstad, Anna-Katharina | |
dc.contributor.author | Brevik, Tone Beate | |
dc.contributor.author | Sten, Lotte-Guri Bogfjellmo | |
dc.contributor.author | Drolsum, Liv | |
dc.date.accessioned | 2022-02-21T08:52:51Z | |
dc.date.available | 2022-02-21T08:52:51Z | |
dc.date.created | 2021-07-07T12:38:31Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Tønset, T. S., Jakobsen, J. E., Tveit, J. H., Jørstad, A.-K. L., Brevik, T. B., Sten, L.-G. B., & Drolsum, L. (2021). Circumferential (360°) trabeculotomy in primary congenital glaucoma: 19–245 months of follow-up. Acta Ophthalmologica, 99(8), e1449-e1457. | en_US |
dc.identifier.issn | 1755-375X | |
dc.identifier.uri | https://hdl.handle.net/11250/2980389 | |
dc.description.abstract | Purpose: To evaluate the long-term efficacy and safety of circumferential trabeculotomy (CT) in the treatment of primary congenital glaucoma (PCG).
Methods: Retrospective, single-institutional case series of CT performed for PCG in years 1997–2016. The surgery could be completed in 42 out of 65 eyes (65%) intended for CT, and 39 of them were included in the study. A follow-up examination was performed in 2017. Success was defined as intraocular pressure ≤ 16 mmHg without (complete) or with (qualified) glaucoma medication.
Results: Complete success was obtained in 33/39 eyes (85%), qualified success in 34/39 eyes (87%). Of the 39 eyes with CT, 4 eyes (10%) needed additional surgery. Median follow-up time was 120 months (range, 19–245 months). Median pre- and postoperative IOP were 26.0 mmHg (range, 10–41 mmHg) and 11.0 mmHg (range, 8–19 mmHg), respectively (p < 0.001). Cup-disc ratio was ≥0.5 in 82% at baseline, at follow-up in 9%. The median distance corrected visual acuity at follow-up was logMAR 0.06 (range, −0.2 to 1.1). Median number of glaucoma medication at follow-up was 0 (range, 0–2), at baseline 1.0 (range, 0–2). No serious complications were noted.
Conclusion: Circumferential trabeculotomy is an efficacious, safe and medication saving surgical treatment for PCG in the long term. After a median follow-up of 10 years (120 months), the morphological status of the optic nerve was either normalized or stabilized, and the visual acuity overall well preserved. | en_US |
dc.language.iso | eng | en_US |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/deed.no | * |
dc.title | Circumferential (360°) trabeculotomy in primary congenital glaucoma: 19–245 months of follow-up | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2021 The Authors. | en_US |
dc.source.pagenumber | e1449-e1457 | en_US |
dc.source.volume | 99 | en_US |
dc.source.journal | Acta Ophthalmologica | en_US |
dc.source.issue | 8 | en_US |
dc.identifier.doi | https://doi.org/10.1111/aos.14846 | |
dc.identifier.cristin | 1920683 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |