[Glaucoma surgery in children]

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.