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Abstract #15643 Published in IGR 2-3
Trabeculotomy in congenital glaucoma: comparison to goniotomy
Meyer G; Schwenn O; Grehn FOphthalmologe 2000; 97: 623-628
PURPOSE: To compare the efficacy of trabeculotomy (TO) and that of goniotomy (GO) as a primary surgical procedure in congenital glaucoma. PATIENTS AND METHODS: The authors retrospectively analyzed 39 eyes of 22 children with congenital glaucoma who underwent TO with or without a small trabeculectomy. The results were compared to data on 34 eyes of 21 children who underwent GO for congenital glaucoma. RESULTS: The mean preoperative intraocular pressure (IOP) was 28.2 ± 6.7 mmHg in TO eyes and 31.0 ± 7.9 mmHg in GO eyes. Mean IOP at the end of follow-up was 17.7 ± 6.0 mmHg in TO eyes and 18.9 ± 9.1 mmHg in GO eyes. In 31 of 39 TO eyes (79.5%) and in 26 of 34 (76.5%) GO eyes, the IOP was 21 mmHg or lower at the end of follow-up. Combining the criteria of an IOP greater than 21 and an IOP drop of at least 20%, the success rate was 71.8% (28/39) in TO eyes and 70.6% (24/34) in GO eyes. CONCLUSION: In this study the value of TO in controlling IOP was comparable to that of GO.LA: German
Dr. G. Meyer, Universitäts-Augenklinik Würzburg, Josef-Schneider-Strasse 11, 97080 Würzburg, Germany
Classification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
