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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.
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).
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.
Who performs a goniotomy?
in a hospital by an ophthalmologist, or eye specialist, while the patient is under general anesthesia. Preoperative and postoperative evaluations are also done in a hospital setting if anesthesia is required
What are some of the alternatives to goniotomy?
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.
What procedure is performed before having a goniotomy?
Before the surgeon begins the procedure, the patient is given miotics, which are drugs that cause the pupil to contract. This partial closure improves the surgeon's view of and access to the trabecular meshwork;
What follow up procedures take place after goniotomy?
The patient will be anesthetized again three to six weeks after surgery for a reevaluation of the anterior chamber of the eye. This examination is repeated every three months for the first year; every six months during the second year;
What are some of the disorders treated by goniotomies?
Goniotomy is primarily used to treat congenital glaucoma, a rare condition that affects infants and young children. It involves creating a drainage opening in the eye to reduce intraocular pressure. This procedure can help improve vision and prevent damage to the optic nerve caused by increased pressure.
