Treatment of choice for congenital glaucoma:
Trabeculectomy + Trabeculotomy is the treatment of choice for congenital glaucoma patients. Rx Goniotomy: initial procedure --> done with von graefe knife -->direct visualization of angle by direct gonioscope. Trabeculectomy + Trabeculotomy: Procedure of Choice. Response to Medical Mx not good. Brimonidine is contraindicated. S/E apnoea and death. Glaucoma drainage devices are used in the failed filtration surgeries.
Trabeculectomy + MMC
Trabeculectomy + Trabeculotomy
Goniotomy
Iridotomy
Glaucoma