Purpose
To compare the success and complication rates of viscogoniotomy and goniotomy in Turkish patients.Methods
In a retrospective review, the medical records of patients with primary congenital glaucoma were divided into two groups. Group 1 consisted of 21 patients (38 eyes) who had undergone classical goniotomy, and group 2 consisted of 25 patients (44 eyes) who had undergone viscogoniotomy. The success rates and intra- and postoperative complications were compared between the two groups.Results
Mean preoperative introcular pressure (IOP) was 28.9 ± 3.6
mmHg in group 1 and 29.3 ± 2.8
mmHg in group 2. At the last postoperative visit, it was 17.3 ± 3.1
mmHg and 16.2 ± 2.1
mmHg, respectively (
P < 0.001). The success rates at the last visit of group 1 and group 2 were 68.4% and 88.6%, respectively (
P < 0.05). The most common early postoperative complication was hyphema in group 1 and transient IOP elevation in group 2.
Conclusion
Viscogoniotomy may increase the success rate and decrease the complications rate by preventing hyphema and flat anterior chamber. Jpn J Ophthalmol 2004;48:404–407 © Japanese Ophthalmological Society 2004Key words classical goniotomy - intraoperative complications - postoperative complications - success rates - viscogoniotomy