Congenital glaucoma in the past has resulted in a high percentage of blindness, due to lack of an adequate operation.
Anderson1 stated: "There is no division of opinion regarding the severity of the visual loss and its progressive nature in spite of treatment. Seefelder found that 81 per cent of his series of 60 eyes were quite or almost blind. Ten of the 46 patients were in blind asylums. In only 15 was the corrected vision as good as 6/60."
In 1941, I reported on 17 patients with congenital glaucoma operated on by goniotomy.2 In the present article results of goniotomy performed on 76 eyes are recorded. Goniotomy preserved useful vision in most cases. When combined with early diagnosis, it gave excellent visual results. A plea is. made for early diagnosis and prompt adequate operation.
The observations and conclusions on diagnosis, pathologic conditions and surgical treatment presented in
BARKAN O. GONIOTOMY FOR CONGENITAL GLAUCOMAUrgent Need for Early Diagnosis and Operation. JAMA. 1947;133(8):526–533. doi:10.1001/jama.1947.02880080018005
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