What are the likely outcomes in an infant with congenital glaucoma?
In congenital and infantile glaucoma, the reason the fluid doesn’t get out through the trabecular meshwork into Schlemm’s Canal to be drained is that the iris is abnormally attached over it. A goniotomy is a surgical procedure where a tiny sharp blade is used to cut the tissue that holds the iris forward over the trabecular meshwork and open the outflow channel. I know college graduates that had a goniotomy at that age and never had to do anything else surgically. Many may need a medicinal drop to keep their IOP low enough. The goniotomy is usually about 65% to 75% successful, so not infrequently other surgeries are needed. Dr.
