Background-The treatment for infantile glaucoma is surgical. Treatment
options include goniotomy, trabeculotomy, combined trabeculotomy-trab
eculectomy, and trabeculectomy. Methods-Patients who had a follow up o
f 5 years or longer after primary trabeculectomy were examined to dete
rmine the long term stability in infantile glaucoma. Results-In eyes w
ith primary infantile glaucoma 92.3% achieved control of their glaucom
a with a single trabeculectomy; 100% achieved control with two trabecu
lectomies; 85.7% of eyes with secondary infantile glaucoma achieved co
ntrol with a single trabeculectomy. There were no serious complication
s experienced in either group. Conclusion-Primary trabeculectomy is a
safe and successful operation for infantile glaucoma.