Goniotomy for Childhood Glaucoma

Goniotomy for Childhood Glaucoma

Surgery 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.

What To Expect

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 It Is 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.

How Well It Works

One year after surgery, goniotomy was successful for more than 80 out of 100 children who didn't have glaucoma at birth.footnote 1 If pressure in the eye increases, the procedure may need to be repeated.

Risks

Complications of goniotomy include bleeding, infection, and cataracts.

References

Citations

  1. Gagrani M, et al. (2020). Surgical interventions for primary congenital glaucoma. Cochrane Database of Systematic Reviews, 8: CD008213. DOI: 10.1002/14651858.CD008213.pub3. Accessed May 6, 2021.

Credits

Current as of: April 29, 2021

Author: Healthwise Staff
Medical Review:
Adam Husney MD - Family Medicine
Christopher J. Rudnisky MD, MPH, FRCSC - Ophthalmology
Heather Quinn MD - Family Medicine

Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.

Find a Doctor

Find an Adventist HealthCare affiliated doctor by calling our FREE physician referral service at 800-642-0101 or by searching our online physician directory.

View Doctors

Set Your Location

Setting your location helps us to show you nearby providers and locations based on your healthcare needs.