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Year : 1981  |  Volume : 29  |  Issue : 2  |  Page : 81-82

Trabeculectomy in congenital glaucoma

Little Flower Hospital, Angamaly, Kerala, India

Correspondence Address:
Alex Joseph
Koottiparampil House near Civil Station, Kottayam-2
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Source of Support: None, Conflict of Interest: None

PMID: 7327693

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How to cite this article:
Joseph A. Trabeculectomy in congenital glaucoma. Indian J Ophthalmol 1981;29:81-2

How to cite this URL:
Joseph A. Trabeculectomy in congenital glaucoma. Indian J Ophthalmol [serial online] 1981 [cited 2023 Nov 30];29:81-2. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1981/29/2/81/30968

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Table 1

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Table 1

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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 Top

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 Top

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 Top

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 Top

The long term results of trabeculectomy in 50 cases of congenital glaucoma is being reported.

  References Top

Crairns, J.E., 1968, Amer. J. Ophthalmol. 66:673.  Back to cited text no. 1
Watson, P.G., 1969, Trans. Ophthalmol, Soc. U.K. 89 : 523.  Back to cited text no. 2
Chandra, D.B., Agrawal, T.N., Srivastva, D.N. and Ramanan. V.R., 1976, Proc 5th Afro-Asian Congress of Ophthalmol.  Back to cited text no. 3
Gerald, L., 1977, Amer. J. Ophthalmol. 84: 145.  Back to cited text no. 4
Malik, S.R.K., 1976, Proc 5th Afro-Asian Con­gress of Ophthalmol.  Back to cited text no. 5
Maskati, B.T. and Bakshi, K.K., 1974, Proc. All India Ophthalmol soc.  Back to cited text no. 6
Maurice, H. Luntz and Livingston, 1977. Amer J. Ophthalmol. 83 : 174.  Back to cited text no. 7
Metha, K.R., Sathe., S.N. and Karyekar, S.D., 1974, Ind. J. Ophthalmol. 22 : 9.  Back to cited text no. 8
Gillies, W.E., 1977, Brit. J. Ophthalmol. 61:297.  Back to cited text no. 9
Franco D' Ermo, Luciano Bonimi and Daniele. B. Dor. 1979, Amer. J. Ophthalmol 88 : 829.  Back to cited text no. 10


  [Table - 1], [Table - 2], [Table - 3], [Table - 4], [Table - 5]

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