title: Management of primary congenital glaucoma by trabeculectomy in Nigeria.
abstract: 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.
authors.affiliation: Department of Ophthalmology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
authors.forename: E N
authors.initials: EN
authors.lastname: Onwasigwe
authors.forename: I R
authors.initials: IR
authors.lastname: Ezegwui
authors.forename: C N
authors.initials: CN
authors.lastname: Onwasigwe
authors.forename: A E
authors.initials: AE
authors.lastname: Aghaji
mesh_terms: 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