Efficacy of Goniotomy in Management of Primary Congenital Glaucoma

Abstract

Purpose: To assess the effectiveness of goniotomy in children suffering from primary congenital glaucoma.

Material and Methods: 22 patients were selected from pediatric outdoor of LRBT Free Eye and Cancer Hospital, Lahore. 37 eyes of those 22 patients underwent goniotomy. Regular follow-up visits were planned after their surgery on which their intraocular pressure (IOP), cup/disc ratio (CD Ratio) and horizontal corneal diameters were recorded. Final post-operative IOP, CD Ratio and corneal diameters were recorded on the 180th post-operative day.

Results: 37 eyes of 22 patients were operated. Their demography showed that 14 patients (64%) were male and 8 patients (36%) were female. Mean age of the patients was 9.54 months, ranging from 2 – 36 months. On 180th postoperative day, it was seen that IOP decreased in 92% cases, CD ratio reversal occurred in 67.6% eyes and horizontal corneal diameters remained stable in 75.7% eyes.

Conclusion: Goniotomy is an effective procedure to treat children having primary congenital glaucoma.