UBM Guided Site and Extent of Trabeculotomy in Pediatric Glaucoma
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Mansoura University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Intraocular pressure
Study Overview
Brief Summary
Different types of surgery are applied in PCG, including goniotomy, trabeculotomy, glaucoma drainage devices and trabeculectomy. UBM examination of the anterior chamber before surgery can help in the decision to what type of surgery is best for the patient. Aim of the work To study the value of using UBM to select the site and extent of trabeculotomy in pediatric glaucoma and its correlation with surgical outcomes.
Detailed Description
To study the value of using UBM to select the site and extent of trabeculotomy in pediatric glaucoma and its correlation with surgical outcomes.All Cases with pediatric glaucoma prepared for trabeculotomy including Primary congenital glaucoma and secondary glaucoma as : glaucoma following cataract surgery and traumatic glaucoma Methods
History taking:
- Family history of ocular pathologies or syndromes.
- Age at which the mother noticed ocular affection, time and type of intervention.
- Onset of IOP elevation, IOP lowering medications used and any previous surgical intervention for glaucoma.
Preoperative examination & assessment
- Examination under anaesthesia for state of the conjunctiva, conreal incision scars, corneal diameter, Haab's stria, broad limbus, anterior chamber depth, regularity and content, pupil shape, centration and response to mydriatics, IOL position and status in pseudophakic cases, IOP value, optic nerve cupping.
- A scan for axial length and central corneal thickness.
- B scan ultrasonography.
- UBM : full detailed anterior segment examination will be done including : trabecular iris angle width , presence of abnormal iris insertion , abnormal membranes , Schlemm canal studying and iris thickness. All these parameters will be recorded for all 4 quadrants to select the most appropriate site of trabeculotomy.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- — to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All Cases with pediatric glaucoma prepared for trabeculotomy including Primary congenital glaucoma and secondary glaucoma as : glaucoma following cataract surgery and traumatic glaucoma
Exclusion Criteria
- •patients refusing the study
Arms & Interventions
pediatric glaucoma patients either primary or secondary
All Cases with pediatric glaucoma prepared for trabeculotomy including Primary congenital glaucoma and secondary glaucoma as : glaucoma following cataract surgery and traumatic glaucoma
Intervention: trabeculotomy ( angle glaucoma surgery ) (Procedure)
Outcomes
Primary Outcomes
Intraocular pressure
Time Frame: 6 months
success of glaucoma surgery
Secondary Outcomes
No secondary outcomes reported
Investigators
Dina abdelfattah
Dina Abd Elfattah
Mansoura University