title: Surgical management of pediatric glaucoma.
abstract: Pediatric glaucoma surgery is challenging because of the differences in anatomy from the adult, differences in the behavior of the tissues of a child's glaucomatous eye, the variety in causes of the disease, and difficulties with postoperative management. Goniotomy and trabeculotomy are the preferred initial treatments for primary congenital glaucoma. Trabeculectomy with adjunctive mitomycin C is more likely to succeed in older, phakic patients, but carries the long-term risk of bleb-associated endophthalmitis. Glaucoma drainage devices may be preferred in younger children and in patients with aphakic glaucoma, but these devices can cause tube-related complications. Lastly, cyclodestructive procedures are reserved for patients in whom filtering surgery has failed, given its more unpredictable effects and serious complications.
authors.affiliation: Glaucoma Division, Department of Ophthalmology, University of California, San Francisco, Calif, USA. giorgio.marchini@univr.it
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Ou
authors.forename: Joseph
authors.initials: J
authors.lastname: Caprioli
mesh_terms: D002648:Child; D018463:Filtering Surgery / Q000379:methods*; D005901:Glaucoma / Q000151:congenital* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D016896:Treatment Outcome