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Long-term follow up of primary trabeculectomy for infantile glaucoma.
  1. T. Fulcher,
  2. J. Chan,
  3. B. Lanigan,
  4. R. Bowell and
  5. M. O'Keefe
  1. Department of Ophthalmology, Children's Hospital, Dublin, Ireland.


    BACKGROUND--The treatment for infantile glaucoma is surgical. Treatment options include goniotomy, trabeculotomy, combined trabeculotomy-trabeculectomy, and trabeculectomy. METHODS--Patients who had a follow up of 5 years or longer after primary trabeculectomy were examined to determine the long term stability in infantile glaucoma. RESULTS--In eyes with primary infantile glaucoma 92.3% achieved control of their glaucoma with a single trabeculectomy; 100% achieved control with two trabeculectomies; 85.7% of eyes with secondary infantile glaucoma achieved control with a single trabeculectomy. There were no serious complications experienced in either group. CONCLUSION--Primary trabeculectomy is a safe and successful operation for infantile glaucoma.

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