What is goniotomy?

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Goniotomy for childhood glaucoma: Overview

Goniotomy is a surgical procedure in which the doctor uses a lens called a goniolens to see the structures of the front part of the eye (anterior chamber). An opening is made in the trabecular meshwork, the group of tiny canals located in the drainage angle, where fluid leaves the eye. The new opening provides a way for fluid to flow out of the eye. Goniotomy is a surgery for children only.

How well does a goniotomy for childhood glaucoma work?

One year after surgery, goniotomy was successful for more than 80 out of 100 children who didn't have glaucoma at birth. If pressure in the eye increases, the procedure may need to be repeated.

What are the risks of a goniotomy for childhood glaucoma?

Complications of goniotomy include bleeding, infection, and cataracts.

What can you expect as your child recovers from a goniotomy for childhood glaucoma?

Children who have a goniotomy for glaucoma need to be watched carefully after surgery to make sure their glaucoma is controlled. The pressure in their eyes needs to be measured frequently.

Why is a goniotomy for childhood glaucoma done?

Goniotomy is used to treat childhood glaucoma if the clear covering (cornea) over the iris (the colored part of the eye) is not cloudy.

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