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Article
September 1949

GONIOTOMY IN TREATMENT OF CONGENITAL GLAUCOMA

Author Affiliations

PHILADELPHIA
From the Department of Ophthalmology, Hospital of the University of Pennsylvania and University of Pennsylvania School of Medicine.

Arch Ophthalmol. 1949;42(3):266-282. doi:10.1001/archopht.1949.00900050272005
Abstract

THE RESULTS obained from goniotomy in the treatment of 16 eyes (9 patients) with congenital glaucoma are reported. The outcome in these eyes is comparable to the reported by Barkan.1 All the patients discussed in this paper have been followed for one and one-half to three years after operation.

HISTORICAL REVIEW  The treatment of congenital glaucoma has been discouraging in the past. Favorable response to miotics is rare. The multiplicity of operations in use in the various clinics speaks for their inadequacy. Anderson,2 in his monograph, pointed out that congenital glaucoma is one of the chief causes of blindness in children. He cited surveys from several countries which showed that 2.4 to 13.5 per cent of children admitted to schools for the blind had lost their eyesight because of congenital glaucoma. He concluded his monograph by dwelling on the poor outlook for patients with congenital glaucoma and stated

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