[Primary congenital glaucoma. Long-term success after goniotrepanation with scleral flap].

BACKGROUND

The long-term success of primary goniotrephining with scleral flap was evaluated in the treatment of primary congenital glaucoma.

PATIENTS AND

METHODS

Retrospective analysis was carried out in 31 eyes of 18 patients with primary congenital glaucoma (mean follow-up 63 months, range 10-161). Surgical success was defined by an intraocular pressure less than 18 mmHg without medication, stabilization, or reduction in horizontal corneal diameter and stabilization or reversal of disc cupping. Surgical complications were also noted.

RESULTS

In 25 eyes control of the glaucoma was achieved with a single goniotrephining procedure (80.6% success rate). In 31 eyes control was achieved with two goniotrephinings (100% success rate). No serious surgical complications were noted.

CONCLUSIONS

Primary goniotrephining with scleral flap is a successful and safe method of primary congenital glaucoma treatment.