Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review - Report - MDSpire

Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review

  • By

  • Mathilde Mussmann von Arenstorff

  • Line Kessel

  • Marie Louise Roed Rasmussen

  • Per Riise

  • Daniella Bach-Holm

  • July 1, 2026

  • 0 min

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Clinical Report: Outcomes of Trabeculotomy in Children with Ocular Hypertension

Overview

This study evaluates trabeculotomy outcomes in pediatric patients with steroid-induced ocular hypertension or glaucoma.

Background

Steroid-induced ocular hypertension and glaucoma are significant complications of corticosteroid therapy in pediatric patients. When medical management fails, surgical options like trabeculotomy may be necessary.

Data Highlights

No specific numerical data was provided in the source material.

Key Findings

  • Trabeculotomy effectively reduces intraocular pressure in pediatric steroid responders.
  • The procedure eliminates the need for pressure-lowering medications.
  • Patients can continue steroid therapy without recurrence of elevated intraocular pressure over 24 months.
  • This study represents the first detailed evaluation of trabeculotomy outcomes in this patient group.

Clinical Implications

Consideration of trabeculotomy as a surgical option for pediatric patients with steroid-induced ocular hypertension when medical therapy is inadequate.

Conclusion

The findings support trabeculotomy as a surgical option for managing steroid-induced ocular hypertension in pediatric patients.

Related Resources & Content

  1. Glaucoma Physician, 2021 -- Management of Glaucoma Following Cataract Surgery in Children
  2. Retinal Physician, 2010 -- Peer-Reviewed: Intraocular Pressure Changes After Removal of Sub-Tenon’s Triamcinolone Acetonide Depot
  3. Ophthalmology Management, 2014 -- Know the systemic effects of ocular steroid therapy
  4. Retinal Physician, 2006 -- Managing Intraocular Pressure Elevation Following Intravitreal Steroid Injection
  5. Advancing glaucoma care: What's new in the 6th edition of the European Glaucoma Society guidelines, 2025
  6. Risk factors of pediatric steroid-induced ocular hypertension | Graefe's Archive for Clinical and Experimental Ophthalmology
  7. Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review - PubMed
  8. Advancing glaucoma care: What's new in the 6th edition of the European Glaucoma Society guidelines
  9. Risk factors of pediatric steroid-induced ocular hypertension | Graefe's Archive for Clinical and Experimental Ophthalmology | Springer Nature Link
  10. Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review - PubMed

Original Source(s)

Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review

  • by Mathilde Mussmann von Arenstorff, Line Kessel, Marie Louise Roed Rasmussen, Per Riise, Daniella Bach-Holm

  • July 1, 2026

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