Je. Sears et al., CILIARY BODY ENDOPHOTOCOAGULATION DURING PARS-PLANA VITRECTOMY FOR PEDIATRIC-PATIENTS WITH VITREORETINAL DISORDERS AND GLAUCOMA, American journal of ophthalmology, 126(5), 1998, pp. 723-725
PURPOSE: To investigate the efficacy of ciliary body endophotocoagulat
ion during pars plana vitrectomy in eyes of pediatric patients with me
dically uncontrolled glaucoma. METHOD: We compared preoperative and po
stoperative intraocular pressure and visual acuity in five eyes of fiv
e patients aged between 10 months and 14.5 years who had 180 degrees o
f ciliary body endophotocoagulation with pars plana vitrectomy. RESULT
S: Preoperative intraocular pressure on medical therapy for glaucoma r
anged from 30 to 55 mm Hg (median, 35 mm Hg). Postoperative follow-up
ranged from 12 to 24 months, with a median of 16 months. Postoperative
intraocular pressure on medical therapy ranged from 12 to 35 mm Hg (m
edian, 25 mm Hg) at 6 weeks, from 12 to 33 mm Hg (median, 29 mm Hg) at
6 months, and from 12 to 29 mm Hg (median, 27 mm Hg) at 12 months. Tw
elve months after surgery, mean intraocular pressure reduction of 20 m
m Hg was statistically significant (P =.020). CONCLUSION: Ciliary body
endophotocoagulation during pars plana vitrectomy may be an effective
treatment for pediatric patients with simultaneous uncontrolled glauc
oma and vitreoretinal disorders. (Am J Ophthalmol 1998;126:123-725. (C
) 1998 by Elsevier Science Inc. All rights reserved.).