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January 1961

Goniopuncture: An Evaluation After Eleven Years

Author Affiliations

From the Department of Ophthalmology, Hospital of the University of Pennsylvania and the Children's Hospital of Philadelphia.

Arch Ophthalmol. 1961;65(1):38-48. doi:10.1001/archopht.1961.01840020040009

This paper summarizes my experience with goniopuncture, in operating on eyes for juvenile and infantile glaucoma, since the procedure was originated in January, 1949. Thirty-six eyes (23 patients) with juvenile glaucoma and 52 eyes (36 patients) with infantile glaucoma were operated on by goniopuncture. In addition, 151 eyes (94 patients) were operated on for infantile glaucoma using goniopuncture combined with goniotomy. For purposes of this paper, juvenile glaucoma refers to primary glaucoma occurring in older children and young adults, 30 years of age or less. The disease runs a chronic simple course and does not show signs of infantile glaucoma or buphthalmos.

Goniopuncture was first described in 1950.1 The operation was developed after observing a fistula, through the corneoscleral wall, which had been caused while doing a goniotomy upon a 19-year-old girl with advanced glaucoma. Noting that the tension had been controlled as a result of aqueous flow through

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