Since Barkan's * reports of the successful treatment of congenital glaucoma by means of goniotomy, which was originally described by de Vincentiis in 1893,4 many reports confirming this work have been published. Scheie † also has done much original work on congenital glaucoma and has devised another operation, goniopuncture, which, in my hands, has been successful by itself, and in a number of cases in which goniotomy has not.
The technique of these operations has been previously described and will not be given in detail here. In goniotomy the trabecular portion of the angle is incised. In goniopuncture a perforation of the corneoscleral wall is made through the trabecular portion of the angle, and the operation is described by Scheie as a filtering one. There is some controversy concerning the use of a contact glass during these procedures. My own preference is to operate without it.
REPORT OF CASES
ROBERTSON EN. Therapy of Congenital Glaucoma. AMA Arch Ophthalmol. 1955;54(1):55-58. doi:10.1001/archopht.1955.00930020057008