This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Ophthalmology
Initial treatment of buphthalmos is ? 
Select and explain. 
A. Laser trabeculolasty, B. Goniotomy, C. Topical pilocarpine, D. Carbonic anhydrase inhibitors
B: Goniotomy
Answer: B: Goniotomy 
Explanation: 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.