Related Experiment Video

Updated: Feb 12, 2026

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
07:11

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential

Published on: May 25, 2020

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Characteristics of Children With Primary Congenital Glaucoma Receiving Trabeculotomy and Goniotomy

Lekha Mukkamala, Robert Fechtner, Bart Holland

    Journal of Pediatric Ophthalmology and Strabismus
    |November 21, 2015
    PubMed

    Insights

    Trabeculotomy and goniotomy effectively reduce intraocular pressure (IOP) in primary congenital glaucoma (PCG) patients. Trabeculotomy showed greater absolute success with fewer medications compared to goniotomy.

    Area of Science:

    • Ophthalmology
    • Pediatric Glaucoma Surgery

    Background:

    • Primary congenital glaucoma (PCG) is a severe form of glaucoma requiring surgical intervention.
    • Trabeculotomy and goniotomy are common surgical procedures for PCG.

    Purpose of the Study:

    • To compare trabeculotomy and goniotomy in PCG patients.
    • To analyze age at treatment, intraocular pressure (IOP) outcomes, and medication burden.

    Main Methods:

    • Retrospective chart review of PCG patients from 1998-2012.
    • Inclusion criteria: trabeculotomy or goniotomy with >= 9 months follow-up.
    • Recorded IOP, medications, and success rates at 1 and 2 years post-surgery.

    Main Results:

    • Both procedures significantly reduced IOP (29.5% at 1 year, 33.3% at 2 years).
    • No significant difference in IOP control between groups.
    • Goniotomy group required more medications; trabeculotomy showed higher absolute success rates.

    Conclusions:

    • Trabeculotomy patients were younger and had higher initial IOP than goniotomy patients.
    • Both surgeries effectively lowered IOP for up to 2 years.
    • Trabeculotomy achieved better outcomes with less medication burden.
    Abstract

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