Success of Goniotomy and Trabeculotomy as an Initial Procedure in the Surgical Treatment of Congenital Glaucoma.

Purpose: To evaluate the success and safety of goniotomy and trabeculotomy procedures performed on the patients with congenital glaucoma. Methods: The records of twelve eyes of six consecutive patients with primary congenital glaucoma undergoing surgery were reviewed, Goniotomy was performed on the patients with a clear cornea (n=4), while trabeculotomy was performed on the cases with a hazy cornea (n=8). Data collected during patient follow-up were analyzed and the efficacy of both procedures were evaluated retrospectively. Results: The study group consisted of 3 boys and 3 girls with an average age of 1.83 ± 1.12 (range, 1-4) years. The patients were examined before and after the operation under general anaesthesia. Sex, age, photophobia and tearing complaints, intraocular pressure, corneal haze, corneal diameter, and the type of the operation performed were recorded. Mean intraocular pressure was 31.08 ± 6.06 mm Hg preoperatively and found to decrease to 18.41 ± 4.05 mm Hg postoperatively, Goniotomy was performed on four eyes and the remaining eight eyes were undergone trabeculotomy operation. During a mean follow up of 7.50 ± 6.86 (range, 6-26) months, surgical success was found 75.0% in goniotomy group and 87.5% in trabeculotomy group, Trabeculectomy combined with mitomycin C was performed on the failed two cases. Conclusion: Both goniotomy and trabeculotomy are successful surgical procedures in the management of congenital glaucoma. [ABSTRACT FROM AUTHOR]

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