What is the role of goniotomy and trabeculotomy in the treatment of Sturge-Weber syndrome (SWS) glaucoma?

Updated: Dec 26, 2018
  • Author: Masanori Takeoka, MD; Chief Editor: George I Jallo, MD  more...
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Answer

Goniotomy or trabeculotomy is believed by some to be the treatment of choice in early onset glaucoma in infancy when the probable mechanism for pressure elevation is an abnormal outflow angle. These procedures are often unsuccessful in infants with SWS or are successful only after being repeated several times and with the addition of adjunctive medical therapy. Nevertheless, some authors prefer to perform these procedures initially, because they are sometimes successful and goniotomy also is thought to be less likely to cause complications (especially expulsive choroidal hemorrhage or choroidal effusion) that are associated with a precipitous drop in intraocular pressure.


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