Goniotomy for Childhood Glaucoma Secondary to Uveitis: Long-Term Outcomes
Bibliographic record
Abstract
PRÉCIS: Goniotomy is effective in managing intraocular pressure in childhood glaucoma secondary to uveitis with a cumulative probability of success 0.94 after 1 year and 0.77 after 5 years. OBJECTIVE: To evaluate the long-term success of goniotomy for childhood glaucoma secondary to chronic uveitis. METHODS: Retrospective chart review of all children treated with goniotomy for this indication from 2001 to 2023. Postoperative success was defined as IOP ≥ 6 and ≤ 21 mmHg after 1 or 2 goniotomies, without the need for further surgical intervention or sight-threatening complication. RESULTS: Thirty-one eyes of 21 patients were included. The mean age at first goniotomy was 10.3 years (range 6.6-15.7 years) with uveitis diagnosed on average 4.7 years earlier. The mean preoperative IOP was 28.8 mmHg, on a median of 4 topical agents. Mean follow-up post-goniotomy was 6.8 years (Median 5.7 y) and average postoperative IOP at 1, 5, and 8 years postoperatively was 15.9, 15.2, and 15.6 mmHg, respectively. At the most recent follow-up, 24 eyes (77.4%) were a surgical success. Of these, 5 (21%) needed a second goniotomy to achieve this, and 5 (21%) needed anti-glaucoma drops to maintain IOP ≤21 mmHg (2 of these also had a second goniotomy). There were no major complications, including loss of inflammatory control. CONCLUSION: We confirm that this quick, safe, conjunctival-sparing primary approach is safe and effective in this context, and early success rates are usually maintained in the long term. If stable inflammatory control can be achieved preoperatively, we recommend it as first-line treatment for children with childhood glaucoma secondary to uveitis.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".