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    Clinical Round Up: No glaucoma protection from primary IOL placement in children


    Although treatment of glaucoma was not part of the IATS protocol, the information was tracked. Medication was used to control IOP in 19 (95%) eyes with glaucoma and 12 (75%) glaucoma suspects. Eight eyes (40% of eyes with glaucoma), including the eye with angle-closure glaucoma, underwent some type of surgery.

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    In addition to providing more data to determine if primary IOL placement affects the risk of a glaucoma-related adverse event after cataract surgery in infancy, longer follow-up in IATS may help to answer whether glaucoma behaves differently over time in eyes that had a primary IOL versus those left aphakic, or when the glaucoma develops early versus later after surgery.

    “Glaucoma surgery seems to be required in eyes that developed glaucoma very early after cataract surgery, but it is effective,” Dr. Freedman said. “So far, the later onset cases have been mostly controlled with medications. However, we don’t know if this trend for later onset cases to be more indolent will continue.”


    Sharon F. Freedman, MD

    E: [email protected]

    This article was adapted from Dr. Freedman’s presentation during the 2014 meeting of the American Academy of Ophthalmology. Dr. Freedman has no relevant financial interests to disclose.

    New hope for better myopic traction maculopathy outcomes

    By Lynda Charters

    Brescia, Italy—Macular traction maculopathy can be challenging for surgeons. However, a macular buckle with a new design may be helpful for treating patients with posterior staphyloma without the need for a vitrectomy.

    Barbara Parolini, MD, from the Instituto Clinica S.Anna, Brescia, Italy, explained that posterior staphyloma is ectasia of the posterior scleral wall. Because a similar ectasia does not develop in the retina, traction is exerted on the retina in the anteroposteriorly and tangentially. However, the former is the prevalent type and is most significant in the deepest side of the staphyloma.

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