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Congenital glaucoma does not respond well to medical treatment, so the first line of treatment is usually surgical. Medical therapy is often initiated as adjunct therapy after surgery.
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What is a goniotomy?
A goniotomy is a surgical procedure primarily used to treat congenital glaucoma, first described in 1938.
What is the success rate of goniotomy?
Goniotomy is successful in about 94% of patients with primary congenital glaucoma in decreasing IOP, corneal haze, and corneal diameter.
What complications may occur after a goniotomy?
About 50% of children who undergo goniotomy require a repeat procedure. Complications are more common for patients treated as young infants and as older children.
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What is the purpose of a goniotomy?
to clear the obstruction to aqueous outflow from the eye, which in turn lowers the intraocular pressure (IOP).
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What aftercare takes place following a goniotomy?
The patient will continue to be given antibiotics, corticosteroids, and miotics for one to two weeks after surgery.
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