Table 1 Surgical Management of ARS and Outcomes
From: Surgical outcomes of Glaucoma associated with Axenfeld-Rieger syndrome
Glaucoma Surgery • Total number of type of glaucoma surgery • Number of eyes of number of patients • Average age at time of surgery in years | Previous Glaucoma Surgery (Number of Eyes) | Next Additional Glaucoma Surgery (Number of Eyes) | Years of IOP Control (Range) | Success at Final Follow-up |
|---|---|---|---|---|
Goniotomy • 7 Total Goniotomies • 6 Eyes of 3 Patients • 1.7 ± 1.4 years | 4 Eyes of 2 Patients • No Prior Surgeries 3 Eyes of 2 Patients • Prior Goniotomy (1) • Prior Trabeculotomy/Trabeculectomy (2) | 3 Eyes of 2 Patients • Trabeculectomy w/anti-fibrotics (3) | 4.3 ± 3.9 (2.2-10.1) | • 43% for goniotomy • 50% for eyes due to multiple goniotomies in 1 eye |
Trabeculotomy or Combined Trabeculotomy/ Trabeculectomy • 6 Total Trabeculotomies ± Trabeculectomies • 6 Eyes of 4 Patients • 3.3 ± 7.4 years | 6 Eyes of 4 Patients • No Prior Surgeries | 5 Eyes of 3 Patients • Trabeculectomy w/anti-fibrotics (3) • Baerveldt© 350 (1) • Goniotomy (1) | 14.8 ± 12.7 (0.4-29.2) | • 17% for trabeculotomy ± trabeculectomy |
Trabeculectomy with Anti-Fibrotics • 18 Total Trabeculectomies with Anti-Fibrotics • 14 Eyes of 8 Patients • 16.1 ± 14.8 years | 8 Eyes of 5 Patients • No Prior Surgeries 10 Eyes of 7 Patients • Prior Trabeculectomy (4) • Prior Trabeculotomy (2) • Prior Goniotomy (2) • Prior Trabeculotomy and Goniotomy (1) • Prior Ahmed, Baerveldt© 250, Cycloablation (1) | 6 Eyes of 5 Patients • Repeat Trabeculectomy (3) • Bleb Revision (2) • Baerveldt© 350 (1) | 16.5 ± 13.5 (0.1-39.1) | • 57% for trabeculectomy • 71% for eyes due to multiple trabeculectomies in 3 eyes |
Ahmed© Glaucoma Drainage Device FP7 (6) and FP8 (3) • 9 Total Ahmeds© • 8 Eyes of 5 Patients • 7.2 ± 7.0 years | 8 Eyes of 5 Patients • No Prior Surgery 1 Eye of 1 Patient • Prior Ahmed (1) | 6 Eyes of 4 Patients • Cycloablation (1) • Baerveldt© 250 (3) • Baerveldt© 350 (1) • Tube Revision (1) | 1.7 ± 1.9 (0.4-6.0) | • 25% for Ahmed© GDDs |
Baerveldt© Glaucoma Drainage Device 250 (3) 350 (8) • 11 Total Baerveldts© • 9 Eyes of 6 Patients • 16.8 ± 11.7 years | 2 Eyes of 1 Patient • No Prior Surgery 7 Eyes of 5 Patients • Prior Trabeculotomy (1) • Prior Cycloablation (1) • Prior Ahmed© (4) • Prior Ahmed©, Cycloablation (1) • Prior Ahmed©, Baerveldt© 250 (2)a | 3 Eyes of 4 Patients • Endoscopic cycloablation (1) • Baerveldt© 350 (2)a | 1.6 ± 2.1 (0.2-6.7) | • 70% for Baerveldt© GDD • 88% for eyes due to multiple Baerveldt© GDDs in 2 eyes |
Cycloablation • 6 Total Cycloablations • 4 Eyes of 3 Patientsb, c • 16.0 ± 7.8 years | 4 Eyes of 3 Patients • Prior Ahmed© (3) • Prior Baerveldt© 350 (1) | 3 Eyes of 2 Patientsb, c • Repeat Cycloablation (2) • Baerveldt© 350 (2) | 2.7 ± 3.5 (0.4-9.4) | • 33% for cycloablation • 50% for eyes due to multiple cycloablations in 2 eyes |