Management of primary congenital glaucoma by trabeculectomy in Nigeria.
OBJECTIVE
To review the management of congenital glaucoma, bearing in mind the limited facilities available in developing countries.


METHODS
The medical records of children aged < or = 3 years with primary congenital glaucoma seen at two teaching hospitals and one private eye hospital in Enugu, Nigeria over a 5-year period were reviewed retrospectively. All the children underwent trabeculectomy without use of anti-metabolites.


RESULTS
Fifty-seven eyes of 32 patients (5 unilateral, 26 bilateral) were reviewed. Pre-operatively, 63.2% of the eyes had a corneal diameter of 12-15 mm. After surgery, the number with corneal haziness decreased from 25 (43.8%) to 15 (26.4%) (p=0.05). The mean (SD) pre-operative intra-ocular pressure (IOP) was 28.3 (7.5) mmHg and the mean post-operative IOP was 17 (5.6) mmHg (p=0.001).


CONCLUSIONS
When facilities for other treatment modalities are not available, primary trabeculectomy without the use of anti-metabolites can be employed to manage primary congenital glaucoma.
Onwasigwe
E N
EN
Department of Ophthalmology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Ezegwui
I R
IR
Onwasigwe
C N
CN
Aghaji
A E
AE
D017677:Age Distribution; D002675:Child, Preschool; D003315:Cornea / Q000473:pathology; D003318:Corneal Opacity / Q000473:pathology / Q000601:surgery; D005260:Female; D005901:Glaucoma / Q000151:congenital* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007429:Intraocular Pressure; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D017678:Sex Distribution; D014130:Trabeculectomy; D016896:Treatment Outcome