Long-term success of primary goniotrephining with scleral flap for primarycongenital glaucoma

Background. The long-term success of primary goniotrephining with scleral f lap was evaluated in the treatment of primary congenital glaucoma. Patients and methods. Retrospective analysis was carried out in 31 eyes of 18 patients with primary congenital glaucoma (mean follow-up 63 months, ran ge 10-161). Surgical success was defined by an intraocular pressure less th an 18 mmHg without medication, stabilization, or reduction in horizontal co rneal diameter and stabilization or reversal of disc cupping. Surgical comp lications were also noted. Results. In 25 eves control of the glaucoma was achieved with a single goni otrephining procedure (80,6% success rate). In 31 eyes control was achieved with two goniotrephinings (100% success rate). No serious surgical complic ations were noted. Conclusions. Primary goniotrephining with scleral flap is a successful and safe method of primary congenital glaucoma treatment.