Primary congenital glaucoma (PCG) is a type of childhood glaucoma that occurs during the first three years of life. Abnormalities of the trabecular meshwork lead to an elevated intraocular pressure (IOP) through impaired aqueous humor drainage. In PCG, there are no other systemic or ocular anomalies
The primary goal of treatment is to lower the IOP to stop the progression of visual complications namely glaucomatous optic atrophy as well as corneal scarring. PCG is almost always managed surgically.
Surgical: The approach is chosen according to corneal clarity. The aim of surgery is to remove the impedance to aqueous humor outflux caused by the structural anomalies in the angle of the anterior chamber. This aim is attainable through an internal approach (goniotomy) if the cornea is clear enough to permit visualization or an external approach (trabeculotomy or trabeculectomy).
This study will delve into the depths of two commonly performed procedures: gonioscopy assisted transluminal trabeculotomy and deep sclerectomy with or without trabeculotomies.