{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:16:20Z","timestamp":1777580180822,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T00:00:00Z","timestamp":1458604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe demographic criteria of primary congenital glaucoma (PCG) subjects and to evaluate the surgical outcomes of children who underwent angle surgery over a 20-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective study of patients diagnosed with PCG who underwent trabeculotomy, trabeculectomy, or combined trabeculotomy-trabeculectomy (CTT). The surgery was considered to be successful if intraocular pressure (IOP) was 21 mm Hg or less with or without treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 148 eyes (85 patients) were included in the study. The majority of the patients were younger than 6 months of age (78.9%), with a median age of 2 months. Sex distribution was relatively even between girls and boys (45:40) (53%\/47%). Bilateral disease was seen in 63 patients (74%). The overall success rate was achieved in 80.4%. The majority of the eyes needed only one surgery (105 [70.9%]), 34 eyes (23.0%) needed 2 surgeries, and 7 eyes (4.7%) had 3 surgeries. There was no statistically significant difference in success rate between types of surgery and number of performed procedures. A progressive decline in success rate over time was evident, as success rate dropped from 96.6% at 5 months to less than 50% after 11 years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Excellent IOP control can be achieved in a majority of patients with equally effective results from all 3 surgical procedures. The surgical outcome of PCG was more favorable in infants presenting before the age of 6 months. Adjuvant topical antiglaucoma medications can augment the surgical success rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/ejo.5000784","type":"journal-article","created":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T05:54:53Z","timestamp":1459749293000},"page":"581-587","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Surgical Outcomes in Children with Primary Congenital Glaucoma: A 20-Year Experience"],"prefix":"10.1177","volume":"26","author":[{"given":"Sanaa A.","family":"Yassin","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, University of Dammam, Al-Khobar - Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elham R.","family":"Al-Tamimi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Dammam, Al-Khobar - Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,3,22]]},"reference":[{"key":"bibr1-ejo.5000784","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20051101-01"},{"key":"bibr2-ejo.5000784","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2010.41"},{"key":"bibr3-ejo.5000784","doi-asserted-by":"publisher","DOI":"10.1016\/0039-6257(83)90174-1"},{"key":"bibr4-ejo.5000784","doi-asserted-by":"publisher","DOI":"10.1086\/301725"},{"key":"bibr5-ejo.5000784","first-page":"76","volume":"16","author":"Gen\u0109\u00edk A","year":"1989","journal-title":"Dev Ophthalmol"},{"issue":"3","key":"bibr6-ejo.5000784","first-page":"193","volume":"61","author":"Gencik A","year":"1982","journal-title":"I. 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