Ocena skuteczności leczenia jaskry w przebiegu zespołu Sturge’a-Webera

Purpose
To estimate the efficiency of glaucoma treatment in Sturge-Weber syndrome.

Material and methods
4 patients with Sturge-Weber syndrome and the consecutive glaucoma seen at the Department of Ophthalmology in Bialystok between the years 1999-20005, were reviewed. Glaucoma associated with Sturge-Weber syndrome was diagnosed at the age of 6 months in 1 patient, of 10-11 years in 2 patients and of 14 years in 1 patients. All patients underwent surgery. 2 eyes underwent trabeculectomy and 2 eyes had nonpenetrating deep sclerectomy with SKGel implant.

Results
Before the surgery the intraocular pressure was 35.2 mmHg (range from 25 to 48 mmHg). All patients required antiglaucoma medications after surgery to keep intraocular pressure less than 22 mmHg. After surgery the mean intraocular pressure was 26.25 mmHg (range from 22 to 32 mmHg). 2 patients required 2 medications: Betoptic, and/or Trusopt, and/or Xalatan and 2 patients required 1 medication. After antiglaucoma medications mean IOP was 15.2 mmHg (range from 12 to 18 mmHg).

Conclusions
The results of therapy for glaucoma associated with the Sturge-Weber syndrome are often disappointing.