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Trabekulektomie s peroperační aplikací Mitomycinu C v léčbě dětského glaukomu
Title in English | Trabeculectomy with intraoperative mitomycin C application in the treatment of childhood glaucoma. |
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Authors | |
Year of publication | 2010 |
Type | Article in Periodical |
Magazine / Source | Folia strabologica et neuroophthalmologica |
MU Faculty or unit | |
Citation | |
Field | ORL, ophthalmology, stomatology |
Keywords | trabeculectomy with mitomycin C; childhood glaucoma; pediatric glaucoma |
Description | Purpose: To evaluate a long term efficacy and safety of trabeculectomy (TE) with adjunctive intraoperative use of mitomycin-C (MMC) in pediatric patients with primary and secondary glaucomas, and to identify risk factors for failure of this technique. Methods: Retrospective, noncomparative study of consecutive pediatric patients with glaucoma that underwent MMC augmented TE from 1995 to 2005. Conclusions:Our study demonstrates that TE s MMC is an effective treatment for many pediatric glaucomas in which goniotomy, trabeculotomy or both have failed.Bleb–related endophthalmitis is an important risk with this surgery in children. Phakic children over 1 year of age at time of surgeryhave a significantly higher probability of success than aphakic eyes in younger children. |