International Medical Case Reports Journal (May 2020)
Combined Viscodilation of Schlemm’s Canal and Collector Channels and 360° Ab-Interno Trabeculotomy for Congenital Glaucoma Associated with Sturge–Weber Syndrome
Abstract
Lucia Porsia, Manlio Nicoletti Maggiore Hospital, Bologna 40133, ItalyCorrespondence: Lucia Porsia Tel +39 3470638829Email [email protected]: 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
