[Glaucoma surgery in children].

BACKGROUND

Goniotomy has been established as the standard procedure in the treatment of congenital glaucoma for more than 50 years.

OBJECTIVES

This article presents the current indications for the different antiglaucomatous procedures in children with success rates and specific complications.

METHODS

A selective literature search was carried out and a report of the consensus meeting 2013 concerning congenital glaucoma and personal experiences are presented.

RESULTS

Primary surgical treatment for primary congenital glaucoma mainly consists of trabeculotomy and its modifications but also of goniotomy. A widespread and increasing use of drainage device surgery can be seen in complicated types of pediatric glaucoma, such as secondary glaucoma due to aphakia, uveitis or Sturge-Weber-Krabbe syndrome.

CONCLUSION

The visual prognosis following glaucoma surgery generally depends on successful control of the intraocular pressure as well as on amblyopia treatment.