000			02661na a2200277 4500
003			H12O
005			20180417112621.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_aBarceló Mendiguchia, Ana _91787 _b _eOftalmología
100			_9428 _aGutiérrez Díaz, Esperanza _eOftalmología
100			_aMencía Gutiérrez, Enrique _91786 _eOftalmología
100			_aTejada Palacios, Pilar _91437 _eOftalmología
245	0	0	_aResultados a medio plazo de dispositvos de drenaje para glaucoma en pacientes pediátricos. _h[artículo]
260			_bArchivos de la Sociedad Española de Oftalmología, _c2012
300			_a87(2):38-43.
500			_aFormato Vancouver: Colás-Tomás T, Gutiérrez-Díaz E, Tejada-Palacios P, Barceló-Mendiguchía A, Mencía-Gutiérrez E. Resultados a medio plazo de dispositvos de drenaje para glaucoma en pacientes pediátricos. Arch Soc Esp Oftalmol. 2012 Feb;87(2):38-43.
501			_aPMID: 22341357
504			_aContiene 19 referencias
520			_aPURPOSE: To evaluate the results and long-term complications of glaucoma drainage devices (GDD) in paediatric patients (0-15 years). METHODS: Retrospective cohort study was conducted on 17 implanted glaucoma drainage devices from July 1994 to April 2007 in 14 patients (17 eyes). In two patients (3 eyes) a Molteno GDD (MGDD) was implanted, and in 12 patients (14 eyes) an Ahmed GDD (AGDD) was used. We studied the demographic and glaucoma related patient data, as well as the probability of surgical success. The time which intraocular pressure (IOP) was controlled and the postoperative complications were also studied. RESULTS: Of the fourteen patients, 9 (64.28%) showed congenital glaucoma, and 5 (35.71%) aphakic glaucoma. The pre-aqueous drainage device median IOP was 29.82 mmHg (SD: 6.98), and 14.05 mmHg (SD: 7.57) postoperative. The median follow-up was 3.14 years (3 months-8.3 years). Success of aqueous drainage device was defined as an IOP less than 21 mmHg with or without medication on the last two follow-up visits, and without severe complications or further glaucoma surgery. Using a Kaplan Meier analysis there was success in 76%, 63% and 55% at the six months, 1-3 years and 4-8 years respectively. The GDD was a failure in 41.17%. CONCLUSIONS: GDDs are a good surgery option for refractory paediatric glaucoma when other surgery procedures have failed or have bad prognosti.
710			_9223 _aServicio de Oftalmología
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/6/pc6939.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c6939 _d6939