Original Article

A comparison of long-term results of viscogoniotomy with classical goniotomy in patients with congenital glaucoma - Original Article

  • Nevbahar Tamçelik
  • Abdullah Özkiris

Received Date: 23.04.2008 Accepted Date: 23.06.2008 Turk J Ophthalmol 2008;38(5):375-380

Background: To evaluate the long-term results of viscogoniotomy and goniotomy, and to compare the success rates and complications of these two techniques. Materials-Methods: Patients who had undergone surgery for primary congenital glaucoma were divided into two groups. Group 1 consisted of 38 eyes of 21 patients who underwent classical goniotomy and group 2 consisted of 44 eyes of 25 patients who underwent viscogoniotomy. Pre-and postoperative intraocular pressures (IOPs), mean antiglaucoma medication, mean corneal diameter, success rates, intra-and postoperative complications were compared between two groups. Results: Mean preoperative IOP was 28.9±3.6 mmHg in group 1 and 29.3±2.8 mmHg in group 2. At the last visit, it was 17.3±3.1 mmHg and 16.2±2.1 mmHg, respectively (P Conclusion: Use of viscoelastic materials during goniotomy surgery increase the success rate and decrease complications rate by preventing hyphema and formation of flat anterior chamber.

Keywords: Viscogoniotomy, classical goniotomy, success rates, complications

Full Text (Turkish)