External Trabeculotomy with Trabeculectomy in the Treatment of Congenital Glaucoma

Objective To observe the therapeutic effect of external trabe culotomy with trabeculectomy in the treatment of congenital glaucoma.Methods 30 cases(52 eyes)of congenital glaucoma were performed with external trabeculotomy combined with trabeculectomy.The period of follow-up was 3-36 months.The tension controll rate,corneal diameter,C/D,filteringbleb and complication were analysed.Results After operations the tension in 52 eyes had turned down to normal 10 days after operation.The tension of 43 eyes(25 cases) were controlled in normal rate in the following up 3～36 months.The rate of tension control was 93%.(40/43) the C/D of 4 eyes which the tension was well controlled after operation decreased.The common complication with operation was a small amount of hyphema of which the majority was totally resolved with in(1-6) days and was consequent to the final outcome.Conclusion External trabeculotomy and trabeculectomy is a safe and effective method for congenital glaucoma.