Background and Objective: To evaluate our surgical technique of endoscopic goniotomy (EG) with the use of anterior chamber maintainer (ACM) for congenital glaucoma and to present one-year follow-up data.
Patients and Methods: EG was performed in 12 eyes of 7 patients. A double-port (special goniotomy knife mounted on the endoscope’s probe inserted through first, ACM through second incision) EG technique was used in 6 eyes of 3 patients, while three-port (knife, endoscope probe and ACM inserted through separate incisions) technique was preferred in the remaining 6 eyes of 4 patients.
Results: In all eyes EG of approximately 240 degrees could be done without major complications. At the end of the average follow-up of 14.2 ± 9.7 months, mean intraocular pressure was reduced from 38.3 ± 6.9 mmHg to 17.6 ± 2.8 mmHg (p=0.002), average number of glaucoma medications from 2.1 ± 0.3 to 0.3 ± 0.5 (p=0.001), mean C/D ratios from 0.84 ± 0.11 to 0.79 ± 0.14 (p=0.014), while no statistically significant change was d in average corneal diameter (p=0.16).
Conclusion: EG with ACM was found to be an effective treatment modality for congenital glaucoma.