The authors aimed to report on retinal detachment in eyes that had surgery for primary congenital glaucoma (PCG). This was a retrospective study of 13 children (17 eyes) who developed retinal detachment out of a total of 507 eyes of 363 children with PCG; 3.35% of eyes and 3.58% of children. Mean age at presentation of retinal detachment cases vs PCG without retinal detachment was 4.3 ±3.8 and 8.1 ±11.1 months, respectively. Children had 14 years of follow-up. There was no difference between groups for age, intraocular pressure, corneal diameter or cup:disc ratio. Retinal detachment eyes had twice the number of glaucoma procedures. Bilateral detachments occurred in 31%. Most were rhegmatogenous. Progression to atrophic bulbi occurred in 41% and 80% did not achieve intraocular pressure control. These findings underline the importance of careful long-term follow-up.
Occurrence and characteristics of retinal detachment after primary congenital glaucoma surgery
Reviewed by Fiona Rowe
Retinal detachment after primary congenital glaucoma surgery.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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