A comparison of viscogoniotomy with classical goniotomy in Turkish patients.
OBJECTIVE
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.


CONCLUSIONS
Viscogoniotomy may increase the success rate and decrease the complications rate by preventing hyphema and flat anterior chamber.
Tamçelik
Nevbahar
N
Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Ozkiriş
Abdullah
A
D002648:Child; D002675:Child, Preschool; D005260:Female; D005901:Glaucoma / Q000151:congenital / Q000601:surgery*; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D007429:Intraocular Pressure; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D012189:Retrospective Studies; D014129:Trabecular Meshwork / Q000601:surgery*; D016896:Treatment Outcome
D006820:Hyaluronic Acid