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.
Norin Iftikhar Bano, Mariam Irfan Akram, Harris Muzammil Ansari, Mirza Jamil Ud din Baig. (2010) Efficacy of Goniotomy in Management of Primary Congenital Glaucoma, Pakistan Journal of Ophthalmology, Volume 26, Issue 4.
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