[Extra-trabeculotomy and trabeculectomy in treatment of primary infantile glaucoma].
OBJECTIVE
To compare the effectiveness and complication of extra-trabeculotomy and trabeculectomy in the treatment of primary infantile glaucoma.


METHODS
Patients with primary infantile glaucoma and having undergone either of the two procedures from Jan, 1992 - June, 1996 were selected. Among them, group one (30 patients, 51 eyes) underwent extra-trabeculotomy, while group two (26 patients, 46 eyes) underwent trabeculectomy.


RESULTS
The success rates in group one were 92.2% at the time of discharge and 87.5% during follow-up (mean 26.3 months); the rates in group two were 73.9% and 62.9% (mean 28.1 months) respectively, the differences being significant (P < 0.05). In group one, there was no severe complication, while in group two, two cases had vitreous prolapse.


CONCLUSIONS
Extra-trabeculotomy is more efficacious and safer than trabeculectomy in the treatment of primary infantile glaucoma. It should be the first choice in the treatment of primary infantile glaucoma.
Wang
J
J
Department of Ophthalmology, ENT and Eye Hospital of Shanghai Medical University, Shanghai 200031.
Guo
W
W
Sun
X
X
D002648:Child; D002675:Child, Preschool; D005260:Female; D005901:Glaucoma / Q000151:congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D014130:Trabeculectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome