Combined trabeculotomy-trabeculectomy as a first surgical procedure for primary congenital glaucoma.

Early surgical results (mean follow-up = 163 days) following combined trabeculotomy-trabeculectomy as a first surgical procedure for 20 consecutive cases in 14 children with primary congenital glaucoma were retrospectively examined. Mean pretreatment intraocular pressure was 25.55 +/- 9.58 mmHg, decreasing to 14.55 +/- 6.15 mmHg following treatment. Primary combined trabeculotomy-trabeculectomy was a useful initial procedure to control intraocular pressure in primary congenital glaucoma.