Comparison Between Deep Sclerectomy and Traditional Trabeculotomy & Trabeculectomy in Congenital Glaucoma

King Saud University40 enrolled

Overview

The investigators hypothesize that deep sclerectomy in congenital glaucoma is a safer procedure and may yield better results than trabeculotomy trabeculectomy approach.

Non penetrating glaucoma surgery depends on filtration through trabeculo-descmeto window as well as supra-choroidal space less to sub-conjunctival rout. the nature of the operation keeps the globe intact without penetration that leads to less complications compared to penetrating trabeculectomy combined with trabeculotomy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Congenital Glaucoma

Interventions

Deep SclerectomyPROCEDURE

Non penetrating glaucoma surgery is a new procedure in adults that has less post operative complications with good results, it is to be applied in children.

Combined TrabPROCEDURE

Combined trabeculectomy and trabeculotomy is a standard surgery for congenital glaucoma, however, it has its known complications.

Eligibility

Sex: ALLMin age: 1 DayMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Any case diagnosed as congenital glaucoma with enlarged corneal diameter more than 11 mm and intra-ocular pressure above 21 mmHg, including corneal edema or Habb's Stria with or without optic disc cupping. * Any case diagnosed as primary or secondary congenital glaucoma to ocular or systemic abnormalities. * Within the age of (0 - 12). Exclusion Criteria: * Cases of congenital glaucoma with previous intervention. * Age above 12 Yrs. * Cases with secondary glaucoma caused by surgical intervention, ocular co-morbidity, medications or trauma

Locations (1)

King Abdul Aziz University Hospital

Riyadh, Riyadh Region, Saudi Arabia

Outcomes

Primary Outcomes

reduction in IOP

decrease in the intraocular pressure to the normal limit (\<22 - \>6) mmHg

Time frame: 6 month

Data from ClinicalTrials.gov

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