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Updated: Apr 17, 2026

Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
[Glaucoma surgery in children]
1Zentrum für Augenheilkunde, Universität Köln, Joseph-Stelzmann-Str. 9, 50931, Köln, Deutschland, Thomas.Dietlein@uk-koeln.de.
Insights
Goniotomy and trabeculotomy are key treatments for congenital glaucoma. Surgical success in pediatric glaucoma depends on intraocular pressure control and amblyopia treatment for better visual prognosis.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
Goniotomy has been established as the standard procedure in the treatment of congenital glaucoma for more than 50 years.
Objectives:
This article presents the current indications for the different antiglaucomatous procedures in children with success rates and specific complications.
Methods:
A selective literature search was carried out and a report of the consensus meeting 2013 concerning congenital glaucoma and personal experiences are presented.
Results:
Primary surgical treatment for primary congenital glaucoma mainly consists of trabeculotomy and its modifications but also of goniotomy. A widespread and increasing use of drainage device surgery can be seen in complicated types of pediatric glaucoma, such as secondary glaucoma due to aphakia, uveitis or Sturge-Weber-Krabbe syndrome.
Conclusion:
The visual prognosis following glaucoma surgery generally depends on successful control of the intraocular pressure as well as on amblyopia treatment.
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