Treatment of choice for congenital glaucoma:: (A) Trabeculectomy + MMC, (B) Trabeculectomy + Trabeculotomy, (C) Goniotomy, (D) Iridotomy
Answer is B. Trabeculectomy + Trabeculotomy is the treatment of choice for congenital glaucoma patients. Rx Goniotomy: initial procedure --> done with von graefe knife -->direct visualization of angle by direct gonioscope. Trabeculectomy + Trabeculotomy: Procedure of Choice. Response to Medical Mx not good. Brimonidine is contraindicated. S/E apnoea and death. Glaucoma drainage devices are used in the failed filtration surgeries.