Related Experiment Videos
Operative complications of goniotomy
Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology
|January 1, 1977
Summary
Bilateral goniotomy, a surgical procedure, can be safely performed on both eyes during the same anesthesia. This approach minimizes complications and is recommended when indicated for treating glaucoma.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Glaucoma Treatment
Background:
- Goniotomy is a surgical procedure used to treat glaucoma.
- The safety and efficacy of performing goniotomy on both eyes during a single anesthetic session require evaluation.
Purpose of the Study:
- To review the outcomes of goniotomies performed.
- To assess the safety of performing bilateral goniotomies under the same anesthesia.
Main Methods:
- Retrospective review of 401 goniotomies performed during 320 anesthesias.
- Analysis of complication rates, including cardiopulmonary arrest, postoperative hemorrhage, and vision loss.
Main Results:
- Significant complications included cardiopulmonary arrest (1.8%) and postoperative hemorrhage (0.5%).
- Useful vision was lost in only one case (0.2%).
- No complications were attributed to operating on both eyes simultaneously.
Conclusions:
- Performing bilateral goniotomy during the same anesthesia is a safe and effective procedure.
- This approach is recommended when bilateral goniotomy is indicated for glaucoma management.