[Trabeculectomy in the treatment of congenital glaucoma. Apropos of 74 cases].

The authors report the results obtained in 74 cases, or 105 eyes, with congenital glaucoma operated on by trabeculectomy. Three different trabeculectomy procedures were used: closing the scleral flap with two sutures; placing a silastic passing in bridge under the flap; and tightly suturing the scleral flap. The last mentioned method gave the best results. This was related to intervention during the first phase of the disease and minimizing damage to the cornea. It is derived from this study that the mechanism of action of a trabeculectomy is more an "opening" of the paths of physiological drainage than filtration via the sub-conjunctival space.