Long-Term Visual Acuity Outcomes Of Deep Sclerectomy In Paediatric Glaucoma
Published 2025 - 43rd Congress of the ESCRS
Reference: PO646 | Type: Free paper | DOI: 10.82333/mdqz-a967
Authors: Srishti Khullar* 1 , Vijay Kumar Sharma 1 , Prabhjot Singh 2
1Ophthalmology,Armed Forces Medical college,Pune,India, 2Armed Forces Medical college,Pune,India
Purpose
To evaluate the long-term outcomes of deep sclerectomy in paediatric glaucoma.
Setting
The study adopts a retrospective cohort study design. All of the recruited subjects who underwent deep sclerectomy surgery in a tertiary referral university hospital were followed up to more than 10 years. Cases with complete medical records as regards visual acuity assessment and other glaucoma indices were included.
Methods
Retrospective review of all patients who underwent deep sclerectomy at King Abdulaziz University Hospital from 2001 to 2016. All patients had valid visual acuity testing. The preoperative indices, long-term visual acuity, and intraocular pressure outcomes were analysed. The primary outcome of interest was the improvement in vision as well as the other glaucoma indices.
Results
A total of 83 eyes of 68 patients were included. The mean age of participants was 11.1, [5-25] years. The mean age at surgery was 5.9 months and the mean follow-up period was 10.75 years. The visual acuity was ≥ 20/40 in 56.6%, between 20/40 and 20/200 in 18.1%, and ≤20/200 in 25.3% of the operated eyes. A complete success rate after one surgery was achieved in 53 eyes (63.86%), qualified success was achieved in 8 eyes (9.6%) while 22 eyes (26.5%) failed. Nine eyes (10.74%) had post-operative complications.
Conclusions
Deep sclerectomy is a reasonable option for paediatric glaucoma that can provide good long-term visual outcomes and IOP control with a lower risk of surgical complications.