Our Summary
The study looked at the outcomes of a certain type of eye surgery in children. This surgery was done to correct two conditions at once - strabismus (where the eyes don’t line up properly) and glaucoma (a condition that can damage the optic nerve, often due to high pressure in the eye). The researchers reviewed cases where a device to drain fluid and thus lower eye pressure (a Glaucoma Drainage Device or GDD) was inserted at the same time as surgery to correct the alignment of the lateral rectus muscle, which helps control eye movement.
They found that performing these two procedures together did indeed reduce the misalignment of the eyes and decrease the pressure within the eyes. While not all patients met the defined ‘success criteria’, the number of glaucoma medications required also reduced significantly.
A few patients needed further interventions - some needed the drainage device to be adjusted and others needed additional surgery to correct the eye alignment.
The researchers concluded that doing the strabismus correction and GDD placement at the same time can help improve the child’s vision and appearance. Therefore, it’s a good idea to consider this combined approach for children with glaucoma who also have strabismus.
FAQs
- What were the findings of the study on combined surgery for strabismus and glaucoma in children?
- What further interventions were required for some patients after the combined surgery?
- Who would be suitable candidates for this combined approach of strabismus correction and GDD placement?
Doctor’s Tip
One helpful tip a doctor might give to a patient undergoing glaucoma surgery is to follow all post-operative instructions carefully, including taking any prescribed medications as directed, attending follow-up appointments, and avoiding activities that could increase eye pressure. It’s also important to report any unusual symptoms or changes in vision to your doctor immediately. By following these guidelines, you can help ensure the success of your surgery and protect your vision in the long term.
Suitable For
Patients who are typically recommended glaucoma surgery include those with high eye pressure that is not adequately controlled with medications, those with progressive optic nerve damage despite treatment, those with narrow or closed angles in the eye, and those who are at high risk for developing vision loss due to glaucoma. In the case of children with glaucoma and strabismus, a combined approach of strabismus correction and GDD placement may be recommended to improve vision and eye alignment.
Timeline
Before the surgery, the patient would have likely been experiencing symptoms of both glaucoma and strabismus, such as vision loss, eye pain, and misalignment of the eyes. They would have also undergone various tests and consultations with their ophthalmologist to determine the best course of treatment.
After the surgery, the patient would experience a period of recovery, including follow-up appointments with their ophthalmologist to monitor their progress. They may need to use eye drops or other medications to aid in the healing process. Over time, they should notice improvements in their vision, eye alignment, and overall eye health. Some patients may require further interventions or adjustments to achieve the desired outcomes.
Overall, the surgery aims to improve the patient’s vision and quality of life by addressing both the underlying causes of their eye conditions. It is important for patients to follow their doctor’s instructions and attend all follow-up appointments to ensure the best possible outcome.
What to Ask Your Doctor
Some questions a patient should ask their doctor about glaucoma surgery include:
- What are the potential risks and complications associated with glaucoma surgery?
- What is the success rate of the specific type of surgery being recommended for my glaucoma?
- How long is the recovery period after glaucoma surgery and what can I expect during this time?
- Will I need to continue taking glaucoma medications after surgery?
- How often will I need to follow up with my doctor after glaucoma surgery?
- Are there any alternative treatment options for my glaucoma?
- Will I need to make any lifestyle changes after glaucoma surgery?
- What should I do if I experience any unusual symptoms or complications after surgery?
- How long will the effects of the surgery last, and will I need additional surgeries in the future?
- Are there any specific precautions I should take before or after glaucoma surgery to ensure the best possible outcome?
Reference
Authors: Jacobson A, Bohnsack BL. Journal: BMC Ophthalmol. 2024 Jan 3;24(1):4. doi: 10.1186/s12886-023-03275-8. PMID: 38172748