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Trabeculotomy is a surgical procedure much like trabeculectomy. A piece of tissue in the eye's drainage angle is removed to create an opening. This new opening allows fluid (aqueous humour) to drain out of the eye. Trabeculotomy is a surgery for children only.
After surgery, drops that tighten (constrict) the pupil are used to keep the iris, which is the coloured part of the eye, from blocking the new opening.
Trabeculotomy is a good choice for children who have glaucoma when the clear covering (cornea) over the iris is cloudy.
For children, trabeculotomy or goniotomy are preferred over trabeculectomy, because they are less invasive and less likely to cause cataracts. They also do a better job of lowering eye pressure in children who have glaucoma.
One year after surgery, trabeculotomy was successful for more than 80 out of 100 children who didn't have glaucoma at birth.footnote 1
The most common problem after trabeculotomy is scarring of the new opening in the eye. Scarring prevents fluid from draining out of the eye. Other complications of surgery may include:
CitationsGagrani M, et al. (2020). Surgical interventions for primary congenital glaucoma. Cochrane Database of Systematic Reviews, 8: CD008213. DOI: 10.1002/14651858.CD008213.pub3. Accessed May 6, 2021.
Current as of: April 29, 2021
Author: Healthwise Staff
Medical Review:Adam Husney MD - Family Medicine & Christopher J. Rudnisky MD, MPH, FRCSC - Ophthalmology & Heather Quinn MD - Family Medicine
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