DR. WALIMBE PRASAD BHALACHANDRA

, Dr. WALIMBE TEJASWINI PRASAD

Abstract

INTRODUCTION- “Primary infantile glaucoma” or “congenital glaucoma” poses a diagnostic and therapeutic challenge to the ophthalmologist. It occurs in about 1 out of 10,000 births and results in blindness in approximately 10% of cases and reduced vision in about 50% cases. Medical therapy has a limited role and surgery remains the primary therapeutic modality. METHODS-The presentation demonstrates key surgical steps & nuances of combined trabeculotomy with trabeculectomy in the management of congenital /primary infantile glaucoma. RESULTS:- Combined trabeculotomy with trabeculectomy enjoys a high degree of success rate as compared to other surgical options like goniotomy,trabeculotomy or trabeculectomy alone in congenital/primary infantile glaucoma. CONCLUSION:- Early diagnosis, prompt & proper surgical intervention and proper refractive correction are keys to success in management of congenital /primary infantile glaucoma.