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A Journal on Ophthalmology
Minerva Oftalmologica 2009 June;51(2):39-42
Surgical treatment for infantile glaucoma in Italy: a six-year study period
Department of Ophthalmology Catholic University, Rome, Italy
Aim. The objective of the present study was to evaluate the number and the type of surgical procedures performed in Italy from 1999 through 2004 on children <4 years with discharge diagnoses of infantile glaucoma.
Methods. The number of the following surgical procedures involving children <4 years was recorded: goniosurgery (codes 12.51, 12.52, 12.53), including trabeculotomy ab externo (code 12.54), and filtering procedure (code 12.6 and subcategories 12.61-12.66, and 12.69). The data were analyzed according to age groups, <1 and 1-4 years, and type of surgery.
Results. The total number of operations was 543. In each of the two age groups they were respectively: 65 and 22 goniosurgeries; 78 and 56 trabeculotomies ab externo; 157 and 165 filtering procedures.
Conclusion. The number of surgical procedures was very low. Goniosurgery and trabeculotomy were used above all in babies <1 year of age, even if filtering procedure was performed in most of the two age groups. Trabeculectomy resulted the most common surgery for infantile glaucoma: the total number was 205 in the 6-year period. The data we analyzed show that on addition to trabeculectomy other types of filtering procedures have been frequently used in Italy (total number: 117). Our data do not permit any reliable conclusions on incidence of infantile glaucoma in Italy. Only the mean rate per 10.000 live births (0.93±0.11) of total surgical procedures in <1 year olds might be used as a proxy indicator of the incidence of congenital glaucoma.