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July 1955

Therapy of Congenital Glaucoma

Author Affiliations

Oklahoma City
From the Department of Ophthalmology, Oklahoma City Clinic and Wesley Hospital.

AMA Arch Ophthalmol. 1955;54(1):55-58. doi:10.1001/archopht.1955.00930020057008

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.


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