The combined surgical treatment of primary congenital glaucoma in the young children

The present study based at the Department of Ophthalmology, Tashkent Pediatric Medical Institute, was designed to evaluate the antihypertensive effectiveness of the combined surgical treatment of 60 young children (120 eyes) presenting with primary congenital glaucoma using our original surgical procedure. The patients were divided into two groups one of which was comprised of 40 patients (80 eyes) treated by the newly proposed method while the other one contained 20 children (40 eyes) given the conventional surgical treatment who served as controls. The three-year observations have demonstrated that intraocular pressure in 2 (2,5%) eyes of the children in the first group with the advance and terminal stages of the disease tended to increase despite good preservation of the visual function. The repeated operation by the new method was needed within 3 years after primary surgery. Secondary surgery was needed on 5 (12.5%) eyes in the control group within 10 months after the conventional treatment. It is concluded that the new method allows the number of repeated surgical interventions to be reduced by 10%.

congenital glaucoma, combined surgical treatment