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Combined Viscodilation of Schlemm’s Canal and Collector Channels and 360° Ab-Interno Trabeculotomy for Congenital Glaucoma Associated with Sturge–Weber Syndrome

Authors Porsia L, Nicoletti M

Received 6 March 2020

Accepted for publication 6 May 2020

Published 21 May 2020 Volume 2020:13 Pages 217—220

DOI https://doi.org/10.2147/IMCRJ.S252725

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Lucia Porsia, Manlio Nicoletti

Maggiore Hospital, Bologna 40133, Italy

Correspondence: Lucia Porsia Tel +39 3470638829
Email lucia.porsia@ausl.bologna.it

Purpose: This case report demonstrates the potential role of the OMNI surgical system in the surgical management of congenital glaucoma.
Patients and Methods: The case was a  4-month-old full-term, otherwise healthy female infant with cutaneous hemangiomas of both upper lids, corneal edema in the right eye (RE) and IOP > 30 mmHg. Sturge–Weber syndrome (SWS) was diagnosed. The RE was surgically treated with ab-interno circumferential viscodilation and trabeculotomy.
Results: Through 10 months of follow-up, intraocular pressure was adequately controlled without the need for adjunctive medical therapy.
Conclusion: Given its advantages over other angle surgery techniques, this procedure’s role in treating glaucomas of childhood warrants further evaluation.

Keywords: Sturge–Weber, congenital glaucoma, OMNI surgical system, viscodilation, canal surgery, pediatric glaucoma

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