Abstract

Study design :Observational study
Purpose: To study management and clinical course of Sturge Weber patients.
Method: Clinical profile and Glaucoma management (surgical/medical) was assessed for 3 years.
Results :
26 patients (26 eyes) of which 65%(17) Female & 34% (9) male with presenting age from 32 days to 68 years.26.9 %(8)had epilepsy .
3 patient had Ocular melanosis naevi .65.3%(17) left , 30.7%(8) Right & 1 patient both side face involvement . Blood in Schelms Canal in (19.2%)(5) and Choroidal Hemangioma in 42.3%(11)
88.4%(23) had Glaucoma.
34.7 %( 8) medically managed with mean 2 AGM(18.5mmHg). 65.2% (15) were surgically managed & majority underwent Combined Trabeculotomy + Trabeculectomy (14).
The mean preop IOP was 31.1 mmHg which reduced to 14, 11.2, 10.1 & 9.5 mmHg at 2 week , 1m,3m and 6 month respectively.Number of AGM reduced from 1 to 0.5.
Conclusion: Glaucoma in SWS patients requires Surgical intervention with Trab + Trab giving promising surgical results