Initial treatment of buphthalmos is ?: (A) Laser trabeculolasty, (B) Goniotomy, (C) Topical pilocarpine, (D) Carbonic anhydrase inhibitors
Answer is B. Ans. is 'b' i.e., Goniotomy Treatment of congenital glaucoma Unlike adult glaucoma. the initial treatment for congenital glaucoma is often surgical. A drainage angle surgery is often recommended for congenital glaucoma. Surgical procedures used are :- Goniotomy Trabeculotomy -+ can be performed with corneal clouding Trabeculcctomy Combined trabeculotomy and trabeculectomy Medications are not very effective. However, IOP is lowered by use of hyperosmotic agents, acetazolamide and beta- blockers till surgery is taken up. Miotics are of no use.