TREATMENT OF EARLY POSTOPERATIVE COMPLICATIONS IN CHILDREN WITH PRIMARY CONGENITAL GLAUCOMA
Abstract
Purpose – to study the nature of early postoperative complications in children with primary congenital glaucoma and methods of their correction after antiglaucoma surgery using a combined method with a simultaneous effect on three outflow tracts. Material and methods The total number of children who underwent antiglaucoma surgery using the combined method (simultaneous impact on the outflow tracts in three directions: sinus trabeculectomy according to Burian in the scleral sinus, cyclodialysis-cycloretraction with autoscleral pedicle into the suprachoroidal space, basal iridectomy with sclerectomy beneath the scleral flap into the episcleral venous system) was 151 (270 eyes). Results On the first postoperative day following antiglaucoma surgery, the incidence of early postoperative complications was 62.6%, which increased to 67.4% by the third day. Among these, the highest proportion of patients presented with severe hypotony – 33.3%, hyphema – 10.0%, and ocular hypertension – 6.7%. After conservative treatment, the incidence of complications in children decreased to 10% by the seventh postoperative day. Conclusion Thus, following conservative treatment, the incidence of complications in the early postoperative period decreased by 52.6%. There was no need for repeated surgical intervention in these patients. Patients were discharged home under the supervision of an ophthalmologist at their place of residence. Key words: primary congenital glaucoma, glaucoma surgery, early postoperative complications