بررسی نتایج درمانی و عوارض عمل ترابکولوتومی و ترابکولکتومی در کنترل فشار چشم بیماران مبتلا به گلوکوم مادرزادی

Background and purpose : Congential glaucoma is one of the causes of blindness in pediatric age group and the patients are resistante to drug theragy so the purpose is to determine the success rate of trabeculotomy and trabeculectomy glaucoma surgery. Materials and Methods : All Patients (16 eyes) with congental glaucoma referred to E.H Hospital in 1971-1977 They have Trabeculotomy first , and in Cases with no respones , trabeculectomy with MMC or 5FU was done the parameters for controlling intraocular pressure (IOP) were: 1) Size of Cornea 2) haziness of cornea 3) IOP 4) Tearing 5) Photophcia Patients were under-control 4-6 weeks post operation and then every 4 months. Results : in 16 eyes with trabeculotomy 10 eyes (62.50%) have controlled IOP with and without medication 4 eyes (31.25%) undergone Trabeculectomy with MMC or 5FU have contolled IOP, 2 eyes (6.25%) have no response to surgery so cyclocryo was for them. Conclusion : for controllong the IOP in congenital glaucoma the best procedure is trabeculotomy or trabeclectomy with 5FU or MMC , according to patient’s condition we can repeat the surgery