BACKGROUND:
Congenital glaucoma is due to the isolated trabeculodysgenesis. The intraocular pressure is raised in early childhood due to developmental defect in the trabecular meshwork causing decreased facility of aqueous outflow. Therefore management is mainly surgical and aimed at improving the facility of outflow by cleaving the abnormal trabecular meshwork. Combined trabeculotomy with trabeculectomy has replaced goniotomy as the preferred surgical treatment. The technique is less dependant on corneal clarity therefore applicable to all primary surgery in congenital glaucoma.
AIM OF THE STUDY:
To analyse the surgical outcomes in congenital glaucoma following combined trabeculotomy and trabeculectomy.
MATERIALS AND METHODS:
Evaluation done are presenting IOP, anterior segment corneal clarity and corneal diameter. All were re examined in the postoperative period following combined trabeculotomy and trabeculectomy surgery for intraocular pressure measurement.
RESULTS:
Following Combined Trabeculotomy and Trabeculectomy, there was a statistically significant reduction in IOP in the post operative visits when compared with Pre Operative IOP. There was also an associated reduction in corneal haze and improvement in vision. There was Complete Success in 53.33% and Qualified success in 46.67% at final follow-up visit with no failures. This was because long term follow up is needed to determine and manage the failure rates and complications.
CONCLUSION:
Medical therapy is often ineffective and surgery is the ultimate management.
Combined Trabeculotomy and Trabeculectomy is a safer and effective primary surgery for Primary Congenital Glaucoma with good success rate and better IOP control
