Postoperative Changes in Retinal Vessel Diameter and Optic Disc Morphology Following Glaucoma Surgery in Pediatric Patients: A Quantitative Analysis Using Fundus Photography - Takeaways - MDSpire

Postoperative Changes in Retinal Vessel Diameter and Optic Disc Morphology Following Glaucoma Surgery in Pediatric Patients: A Quantitative Analysis Using Fundus Photography

  • By

  • Miao Zhang

  • Longyan Sun

  • Caixia Lin

  • Xiaowei Yu

  • Yan Shi

  • Zhigang Fan

  • April 20, 2026

  • 0 min

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  • 1

    The study analyzed postoperative changes in retinal vessel diameter and optic disc morphology in pediatric glaucoma patients.

  • 2

    Glaucomatous eyes showed significantly narrower peripapillary vessel diameters preoperatively compared to age-matched controls.

  • 3

    Post-surgery, despite reduced intraocular pressure, major retinal vessels remained abnormally narrow in glaucomatous eyes.

  • 4

    A subset of patients exhibited cup reversal correlated with inferior rim widening, indicating limited optic cup remodeling.

  • 5

    Preoperative disc hemorrhage and higher β-zone PPA Regularity Index were identified as independent predictors of cup reversal.

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