Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review - Summary - MDSpire
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Trabeculotomy outcomes in paediatric patients with steroid-induced ocular hypertension or glaucoma: a case series and literature review
To evaluate the outcomes of trabeculotomy in paediatric patients with steroid-induced ocular hypertension or glaucoma.
Approach:
Study Design: Retrospective review of medical records of paediatric patients who underwent trabeculotomy for steroid-induced ocular hypertension or glaucoma.
Participants: Included paediatric patients under 18 years with steroid-induced ocular hypertension or glaucoma requiring surgical intervention due to inadequate IOP control.
Surgical Technique: Ab externo microcatheter-assisted trabeculotomy performed under general anaesthesia by experienced glaucoma surgeons.
Key Findings:
Trabeculotomy was associated with a reduction in intraocular pressure in paediatric patients with steroid-induced ocular hypertension or glaucoma.
The procedure was noted to reduce the reliance on pressure-lowering medications.
Patients were able to continue steroid therapy without a recurrence of elevated intraocular pressure during the 24-month follow-up period.
Interpretation:
Limitations:
Small sample size of eight patients.
Retrospective nature of the study may limit generalizability.
Conclusion:
The study suggests that trabeculotomy may provide effective intraocular pressure control in paediatric patients with steroid-induced ocular hypertension or glaucoma.
