Visual Outcome in Children With Congenital Glaucoma
Journal of the Korean Ophthalmological Society
; : 743-748, 2009.
Article
em Ko
| WPRIM
| ID: wpr-111137
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:To evaluate the prognosis of vision and the development of amblyopia in primary congenital glaucoma patients. METHODS: The author reviewed 38 eyes of 22 primary congenital glaucoma patients and evaluated variables such as age at time of surgery and at the last visit, preoperative IOP, Cup-to-disc(CD) ratio, corneal diameter, refractive error, axial lengths and IOP, CD ratio and visual acuity at the last visit. According to visual acuity, the patients were divided into 3 groups, good (>0.5), fair (0.1~0.5), and poor (<0.1). The amblyopia was defined when BCVA was below 0.8 and no evidence of progression of glaucoma. There were 4 types of amblyopia: deprivation, anisometropic, strabismic and organic. The author compared the 3 groups and evaluated factors affecting the vision as well as the prevalence of amblyopia. RESULTS: There were 17 eyes in the good group, 4 eyes in the fair group and 17 eyes in the poor group (p<0.05). Amblyopia developed in 17 eyes with 7 eyes showing deprivation amblyopia. Anisometropic and organic amblyopia were each found in 4 eyes, and strabismic amblyopia was found in 2 eyes. The postoperative IOP and CD ratio and preoperative CD ratio were significantly lower in the good group than the other groups (p<0.05). CONCLUSIONS: Final VA was poor in 45% of eyes with primary congenital glaucoma, and amblyopia developed in 45% of these eyes. The prognosis for vision may be related to the treatment of glaucoma and amblyopia.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Prognóstico
/
Erros de Refração
/
Visão Ocular
/
Acuidade Visual
/
Ambliopia
/
Glaucoma
/
Prevalência
/
Olho
Tipo de estudo:
Prevalence_studies
/
Prognostic_studies
Limite:
Child
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2009
Tipo de documento:
Article