Abstract
Three hundred and thirty-five eyes of 210 patients with congenital glaucoma due to trabecular dysgenesis were treated by goniotomy as the primary procedure in infancy. In 313 eyes (93.5%) glaucoma was controlled at one year following surgery. Using Kaplan Meier actuarial survival analysis we found that eyes controlled in infancy by one or more goniotomies are at risk of relapse of glaucoma for at least 15 years although 93% of eyes are still controlled five years after the initial surgery. Patients whose symptoms of congenital glaucoma presented at birth were more likely to relapse than those whose symptoms developed in the first few months of life. Eyes requiring multiple goniotomies in infancy were more likely to relapse than those controlled by a single procedure.
Similar content being viewed by others
Article PDF
References
Barkan O : Present status on goniotomy. Am J Ophthalmol 1953, 36: 445–53.
Rice NSC : The surgical management of the congenital glaucomas. Aust J Ophthalmol 1977, 5: 174.
Hoskins HD, Hetherington J, Shaffer RN, Welling AM : Developmental glaucomas: diagnosis and classification, In: Symposium on glaucoma. Transactions of New Orleans Academy of Ophthalmology. St Louis, CV Mosby, 1975; Chapter 10: 194–197.
Grunkemeier GL and Starr A : Actuarial analysis of surgical results: Rationale and method. Ann Thoracic Surg 1977, 24: 404–8.
DeLuise VP and Anderson DR : Primary infantile glaucoma (congenital glaucoma). Surv Ophthalmol 1983, 28: 1–19.
Martin BB : External trabeculotomy in the surgical treatment of congenital glaucoma. Aust N Z J Ophthalmol 1989, 17: 299–301.
McGinnity FG, Page AB, Bryars JH : Primary congenital glaucoma: twenty years experience. Ir J Med Sci 1987, 156: 364–5.
Quaranta CA, Rossi Brunori P, Vigasio F, Gatta GP, Sem-eraro F . Quaranta L: [Goniotomy in congenital glaucoma: therapeutic results] Bull Soc Ophthalmol Fr 1989, 89: 1061–7.
Catalano RA, King RA, Calhoun JH, Sargent RA : One versus two simultaneous goniotomies as the initial surgical procedure for primary infantile glaucoma. J Pediatr Ophthalmol Strahis 1989, 26: 9–13.
Shaffer RN : Prognosis in primary infantile glaucoma (Tra-beculodysgenesis) In Krieglstein GK, Leydhecker W eds. Glaucoma update? Berlin: Springer-Verlag 1983: 185–188.
Senft SH, Tomey KF, Traverso CE : Neodymium-YAG laser goniotomy vs surgical goniotomy. A preliminary study in paired eyes. Arch Ophthalmol 1989, 107: 1773–6.
Miller MH and Rice NSC . Trabeculectomy combined with β radiation for congenital glaucoma. Br J Ophthalmol 1991, 75: (In press).
Lister A : The prognosis in congenital glaucoma. Trans Ophthalmol Soc UK 1966, 86: 5–18.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Russell-Eggitt, I., Rice, N., Jay, B. et al. Relapse following goniotomy for congenital glaucoma due to trabecular dysgenesis. Eye 6, 197–200 (1992). https://doi.org/10.1038/eye.1992.38
Issue Date:
DOI: https://doi.org/10.1038/eye.1992.38
Keywords
This article is cited by
-
Combined trabeculotomy–trabeculectomy with and without augmentation in primary congenital glaucoma: triple-armed randomized controlled trial
International Ophthalmology (2022)
-
Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma
BMC Ophthalmology (2018)
-
Early-onset glaucoma in Axenfeld–Rieger anomaly: long-term surgical results and visual outcome
Eye (2016)
-
Childhood glaucoma surgery in the 21st Century
Eye (2014)
-
Deep sclerectomy in pediatric glaucoma filtering surgery
Eye (2012)