Surgical outcomes in primary congenital glaucoma: A one year follow-up

Roduction The role of medical and laser therapy in congenital glaucoma is to fill up the time in the institution of surgical treatment, Primary combined TrabeculotomyTrabeculectomy provides the best treatment for such patients.(1) There exist a range of surgical choices which include Trabeculectomy with Mitomycin–C, Trabeculectomy alone, Glaucoma drainage devices etc.(2) It is known that the success rates of Trabeculectomy are better in early presentations and poor in late presentations of patients for treatment. It has been shown that Trabeculectomy provides longest successful control of Intra ocular pressure (IOP) when done in Primary congenital glaucoma. (3) Most patients require multiple surgeries in their early life span. Success of the procedure in terms of visual acuity, ability to perform day today activities, nystagmus, appearance of squint are looked at by the parents, while the surgeon limits the success to IOP control. The aim of this study is to evaluate the success and efficacy of the various procedures on children with congenital glaucoma over a six month period