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.
Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Nevbahar
N
Tamçelik
Abdullah
A
Ozkiriş
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