Originally, goniotomy and trabeculotomy were distinguished by the approach (clear corneal vs scleral). DISCHARGE INSTRUCTIONS: Seek care immediately if: You have severe eye pain. The trabecular meshwork is the drainage system for your eye. Methods . METHODS: This was a retrospective, comparative study of 40 eyes in 33 patients with pediatric glaucoma: 17 eyes treated with trabeculectomy and 23 eyes treated with combined trabeculotomy-trabeculectomy. A prospective randomised block study of treatment by either argon laser trabeculoplasty or trabeculectomy was undertaken in patients with chronic open angle glaucoma not controlled by medication. Their general purpose is to let water leak from inside the eye, out through the wall of the eye and under the covering tissue (conjunctiva) where it slowly is absorbed. trabeculectomy or trabeculotomy was performed in both eyes except in unilateral cases. Trabeculectomy surgery may be repeated, but secondary surgery has a higher failure rate than primary surgery. ,, Combined trabeculectomy trabeculotomy and tube drainage surgery have also been described as alternative treatment options; both are associated with vision-threatening complications. Results Sixteen eyes ofnine patients were treated with the combined trabeculotomy-trabeculectomy. We retrospectively reviewed the medical records of patients who had undergone standalone trabeculotomy. A trabeculectomy is surgery to treat open angle glaucoma. The eye is filled with a fluid called aqueous (AKE-wee-us) humor (HUE-mer). Most glaucoma surgeons perform trabeculectomy as the first surgical procedure for eyes with glaucoma, but nearly all will admit that the procedure is far from ideal. Despite the lower rate of successful IOP control in children with glaucoma diagnoses other than PCG, the lower incidence of severe postoperative complications with 360-degree trabeculotomy relative to trabeculectomy and GDI surgery, may still make this procedure the preferred initial surgical intervention in this patient group. A trabeculectomy will help repair the drainage system and decrease your eye pressure. The trabeculectomy is performed on the upper portion of the eye (under the upper eyelid), so this bleb and incisions of a trabeculectomy are not visible to you or others. To compare clinical outcomes between trabeculotomy ab externo (TLO) and trabecular ablation ab interno using a Trabectome (TAT) for open angle glaucoma (OAG). Similar operations have been done since 1900. Combined trabeculotomy–trabeculectomy (CTT) has been found to yield superior results in comparison with conventional procedures (Elder 1994), yet there has been no study directly comparing the results of trabeculotomy with CTT for congenital glaucoma. Both trabeculotomy ab externo and trabeculectomy have been reported to be successful in congenital glaucoma with corneal opacification. It is also a possible treatment for primary and secondary types of glaucoma. To evaluate the surgical outcome of combined trabeculotomy–trabeculectomy in Ghanaian children with primary congenital glaucoma. Your eye healthcare provider might want to try other treatments first before performing a trabeculectomy. PURPOSE: To compare outcomes between trabeculectomy and combined trabeculotomy-trabeculectomy in children with glaucoma. Low eye pressure is unhealthy and can cause choroidal effusion or retinal detachment. (Those options don’t involve the patient’s natural drainage system at all. To investigate the long-term outcome of trabeculotomy and to compare it with that of trabeculectomy. In our experience, the primary combined trabeculotomy with trabeculectomy has shown a higher success rate with IOP control in eyes with PCG. The gold standard surgery for treating congenital glaucoma.