Goniotomy for Childhood Glaucoma

Surgery Overview

Goniotomy is a surgical procedure in which the doctor uses a lens called a goniolens to see the structures of the front part of the eye (anterior chamber). An opening is made in the trabecular meshwork, the group of tiny canals located in the drainage angle, where fluid leaves the eye. The new opening provides a way for fluid to flow out of the eye. Goniotomy is a surgery for children only.

What To Expect

Children who have a goniotomy for glaucoma need to be watched carefully after surgery to make sure their glaucoma is controlled. The pressure in their eyes needs to be measured frequently.

Why It Is Done

Goniotomy is used to treat childhood glaucoma if the clear covering (cornea) over the iris (the colored part of the eye) is not cloudy.

How Well It Works

One year after surgery, goniotomy was successful for more than 80 out of 100 children who didn't have glaucoma at birth.^{footnote 1} If pressure in the eye increases, the procedure may need to be repeated.

Risks

Complications of goniotomy include bleeding, infection, and cataracts.

References

Citations

Gagrani M, et al. (2020). Surgical interventions for primary congenital glaucoma. Cochrane Database of Systematic Reviews, 8: CD008213. DOI: 10.1002/14651858.CD008213.pub3. Accessed May 6, 2021.

Credits

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.