to clear the obstruction to aqueous outflow from the eye, which in turn lowers the intraocular pressure (IOP).
A goniotomy is a surgical procedure primarily used to treat congenital glaucoma, first described in 1938.
Goniotomy is successful in about 94% of patients with primary congenital glaucoma in decreasing IOP, corneal haze, and corneal diameter.
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.
The patient will continue to be given antibiotics, corticosteroids, and miotics for one to two weeks after surgery.
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
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.
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;
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;
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