This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Glaucoma, Subject name: Ophthalmology
Treatment of choice for congenital glaucoma: 
Select and explain. 
A. Trabeculectomy + MMC, B. Trabeculectomy + Trabeculotomy, C. Goniotomy, D. Iridotomy
B: Trabeculectomy + Trabeculotomy
Answer: B: Trabeculectomy + Trabeculotomy 
Explanation: 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.