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. 2015 Feb;112(2):95-101.
doi: 10.1007/s00347-014-3052-x.

[Glaucoma surgery in children]

[Article in German]
T S Dietlein  1
Affiliations

[Glaucoma surgery in children]

[Article in German]
T S Dietlein. Ophthalmologe. 2015 Feb.

Abstract

Background: Goniotomy has been established as the standard procedure in the treatment of congenital glaucoma for more than 50 years.

Objectives: This article presents the current indications for the different antiglaucomatous procedures in children with success rates and specific complications.

Methods: A selective literature search was carried out and a report of the consensus meeting 2013 concerning congenital glaucoma and personal experiences are presented.

Results: Primary surgical treatment for primary congenital glaucoma mainly consists of trabeculotomy and its modifications but also of goniotomy. A widespread and increasing use of drainage device surgery can be seen in complicated types of pediatric glaucoma, such as secondary glaucoma due to aphakia, uveitis or Sturge-Weber-Krabbe syndrome.

Conclusion: The visual prognosis following glaucoma surgery generally depends on successful control of the intraocular pressure as well as on amblyopia treatment.

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