Results of Surgical Management of Congenital Glaucoma

ABSTRACT

Congenital glaucoma is the disease that requires operation and its prognosis is not good. In our study, we estimated the operative results of congenital glaucoma. We retrospectively reviewed the medical records of 39 patients(65 eyes) who were diagnosed with and operated for congenital glaucoma since 1986 and followed at least 6 months thereafter. Operation included goniotomy, trabeculotomy, trabeculectomy, Holmium laser sclerostomy, and Seton operation. Twenty five patients were male and fourteen were female, and the mean age at diagnosis was 18.7 months. Mean operation number ws 2.5. Success rate after only one operation without further medication was 20.0%. Sucess rate after only one operation with or without medical treatment was 32.3%. Success rate after more than two operations was 50.8%, and overall success rate was 83.1%. First operation before 3 years of age and preoperative intraocular pressure below 25mmHg had the higher success rate. And initial cup to disc ratio has no influence on the success rate. In congenital glaucoma, they need mean 2.5 operations on the average for success.