Trabeculotomy
Young Kwon, MD, PhD
The surgical treatment of choice for congenital glaucoma is either a trabeculotomy or goniotomy. Both of these procedures surgically open up the immature, non-functioning trabecular meshwork and aim to restore normal outflow of aqueous from the anterior chamber to the Schlemm's canal. If surgery is succesful, intraocular pressure can be adequately controlled without the need for long-term topical medications This video demonstrates how to perform a trabeculotomy.
This video is from a case on congenital glaucoma found on on EyeRounds.org which discusses the diagnosis, evaluation, and treatment of the conditio: http://eyerounds.org/cases/42-Primary-Congenital-Glaucoma-Infantile-Glaucoma.htm.
Additional Notes: approx. 4 min.
