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| ARTICLES |
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| Year : 1981 | Volume
: 29
| Issue : 2 | Page : 81-82 |
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Trabeculectomy in congenital glaucoma
Alex Joseph
Little Flower Hospital, Angamaly, Kerala, India
Correspondence Address:
Alex Joseph
Koottiparampil House near Civil Station, Kottayam-2
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 7327693 
How to cite this article:
Joseph A. Trabeculectomy in congenital glaucoma. Indian J Ophthalmol 1981;29:81-2 |
Trabeculectomy is one of the most commonly performed operation for glaucoma. Fairly good results were obtained with Trabeculectomy in chronic simple glaucoma[1],[2],[3],[4],[5],[6],[7],[8],[9] narrow angle glaucoma[4],[5],[8] aphakic glaucoma[5],[8] and secondary glaucoma[9],[5],[8]. Result and follow-up of Trabeculectomy in congenital glaucoma in the literature is scanty[5],[7],[8]. Aim of the present communication is to report the follow-up of Trabeculectomy in 50 cases of congenital glaucoma.
| Materials and methods | |  |
This study consists of Trabeculectomy in 50 cases of congenital glaucoma out of which 36 cases were infantile and 14 were Juvenile Glaucoma. The sex and age incidence of the cases was recorded [Table - 1][Table - 2]. A detailed ophthalmic examination was done in all the cases and which include oblique illumination, Fundus Examination, Intra-ocular Tension and corneal diameter in all cases and fields and Gonioscopy in few cases [Table - 2],[Table - 3],[Table - 4]
Trabeculectomy was done under general anaesthesia in 36 cases and under local anaesthesia in 14 cases. 5 x 5 mm lamellar scleral flap was raised and trabeculectomy was done with punch. The follow-up varied from 6 months to 3 years.
| Observations | | |
The intraocular pressure was brought below 20 mm. of Hg in 24 eyes without medication, in 8 eyes with Pilocarpine 2% Eye Drops Q.I.D. and in 6 cases with Pilocarpine 4% Eye Drops Q.I.D. Trabeculectomy was repeated in 10 eyes. One eye was evicerated due to explosive haemorrhage and another eye enucleated due to extensive ciliary staphyloma. [Table - 5]
| Discussions | | |
Although trabeculectomy was originally intended for open angle glaucoma, its success in narrow angle and aphakic glaucoma were confirmed[4],[5],[8],[9]. However, this method was found to be less effective in congenital glaucoma[10]. The present series gives a 48% absolute success and another 28% partial success. In the first group the intra ocular tension was controlled without medication and the second group with local medication. The trabeculectomy has the advantage over the other drainage operations by drainage of aqueous into the schlemm's canal beside, subconjunctival drainage which does not produce a large conjunctival bleb. Trabeculectomy can be easily repeated without much disfigurement which may be essential in congenital glaucoma. The complications observed after trabeculectomy are limited both in number and clinical importance.
| Summary | | |
The long term results of trabeculectomy in 50 cases of congenital glaucoma is being reported.
| References | | |
| 1. | Crairns, J.E., 1968, Amer. J. Ophthalmol. 66:673.  |
| 2. | Watson, P.G., 1969, Trans. Ophthalmol, Soc. U.K. 89 : 523. |
| 3. | Chandra, D.B., Agrawal, T.N., Srivastva, D.N. and Ramanan. V.R., 1976, Proc 5th Afro-Asian Congress of Ophthalmol. |
| 4. | Gerald, L., 1977, Amer. J. Ophthalmol. 84: 145. |
| 5. | Malik, S.R.K., 1976, Proc 5th Afro-Asian Congress of Ophthalmol. |
| 6. | Maskati, B.T. and Bakshi, K.K., 1974, Proc. All India Ophthalmol soc. |
| 7. | Maurice, H. Luntz and Livingston, 1977. Amer J. Ophthalmol. 83 : 174. |
| 8. | Metha, K.R., Sathe., S.N. and Karyekar, S.D., 1974, Ind. J. Ophthalmol. 22 : 9. |
| 9. | Gillies, W.E., 1977, Brit. J. Ophthalmol. 61:297. |
| 10. | Franco D' Ermo, Luciano Bonimi and Daniele. B. Dor. 1979, Amer. J. Ophthalmol 88 : 829. |
[Table - 1], [Table - 2], [Table - 3], [Table - 4], [Table - 5]
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