Congenital Glaucoma
Conditions
Brief summary
The investigators hypothesize that deep sclerectomy in congenital glaucoma is a safer procedure and may yield better results than trabeculotomy trabeculectomy approach.
Detailed description
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.
Interventions
PROCEDUREDeep Sclerectomy
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.
PROCEDURECombined Trab
Combined trabeculectomy and trabeculotomy is a standard surgery for congenital glaucoma, however, it has its known complications.
Sponsors
King Saud University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
1 Days to 12 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| reduction in IOP | 6 month | decrease in the intraocular pressure to the normal limit (\<22 - \>6) mmHg |
Countries
Saudi Arabia
Outcome results
None listed