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  • Title: [Glaucoma surgery in children].
    Author: Dietlein TS.
    Journal: Ophthalmologe; 2015 Feb; 112(2):95-101. PubMed ID: 25643652.
    Abstract:
    BACKGROUND: Goniotomy has been established as the standard procedure in the treatment of congenital glaucoma for more than 50 years. OBJECTIVES: This article presents the current indications for the different antiglaucomatous procedures in children with success rates and specific complications. METHODS: A selective literature search was carried out and a report of the consensus meeting 2013 concerning congenital glaucoma and personal experiences are presented. RESULTS: Primary surgical treatment for primary congenital glaucoma mainly consists of trabeculotomy and its modifications but also of goniotomy. A widespread and increasing use of drainage device surgery can be seen in complicated types of pediatric glaucoma, such as secondary glaucoma due to aphakia, uveitis or Sturge-Weber-Krabbe syndrome. CONCLUSION: The visual prognosis following glaucoma surgery generally depends on successful control of the intraocular pressure as well as on amblyopia treatment.
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