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Automated Perimetry
Carbonic Anhydrase Inhibitors
Intra Ocular Lens Power Calculation and Optic Biometry...
Visual Field Defects in Glaucoma
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Current Minimal Invasive Angle Procedures Without Implants for the Treatment of Glaucoma...
Intra Ocular Lens Power Calculation and Optic Biometry...
Automated Perimetry
Carbonic Anhydrase Inhibitors
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
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TJ-CEO 2025 , Vol 20 , Num 1
Abstract Free Full Text Similar Articles Mail to Author
Treatment results of glaucoma associated with Sturge-Weber syndrome
Berkay AnılKupal|1, Mine EsenBarış|1, Suzan GüvenYılmaz|1
Ege Üniversitesi Hastanesi, Göz Hastalıkları, İzmir, Türkiye DOI : 10.37844/TJ-CEO.2025.20.8 Purpose: To evaluate the efficacy and safety of different treatment options in glaucoma associated with Sturge-Weber syndrome.

Materials and Methods: The files of the patients who were diagnosed as Sturge-Weber syndrome associated glaucoma and followed up for at least 6 months in Ege University Glaucoma Department between 2007 and 2023 were reviewed retrospectively. Demographic data, examination findings, treatments, intraocular pressure and complications before and after treatment were evaluated.

Results: 29 eyes of 22 patients (14 females, 8 males) were included in the study. The mean age was 16.8±21.2 (0.02-71) years, the follow-up period was 68.1±55.9 (6-192) months. The mean intraocular pressure was 24.2±7.6 (8-46) mmHg at the first visit, 16.3±5.6 (6-30) mmHg at the last visit. While 15 eyes (51.7%) were followed up with topical antiglaucomatous treatment alone, glaucoma surgery was needed in 14 eyes (48.2%) due to high intraocular pressure despite maximum medical treatment. Dorzolamide-timolol combination was preferred in 18 of 24 eyes (75%) receiving topical treatment as the most commonly preferred agent for medical treatment. Trabeculectomy was performed in 9 (64%) eyes as the most commonly preferred surgery and intraocular pressure was measured as <22 mmHg in 8 of 9 eyes (88.8%). Among the early postoperative complications, hypotony was observed in 7 eyes, choroidal detachment in 3 eyes, and hyphema in 1 eye. Complications completely regressed with medical treatment. There were no destructive complications such as retinal detachment, endophthalmitis, phthisis bulbi.

Conclusion: Glaucoma is the most common ocular complication in Sturge-Weber syndrome. Although it is a condition that requires a high rate of surgery, the treatment results are satisfactory. Keywords : Glaucoma; Sturge-Weber syndrome; neurocutaneous syndrome; medical treatment; glaucoma surgery

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