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Deep sclerectomy, trabeculotomy may be effective for congenital glaucoma, case study suggests

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COLOGNE, Germany — Combining deep sclerectomy with trabeculotomy may be more effective than deep sclerectomy alone for patients with congenital glaucoma, a case study here suggests.

Researchers with the University of Cologne performed a deep sclerectomy on a 3-year-old girl with refractory congenital glaucoma. Intraoperatively, percolation through the trabeculodescemetic window became weak, and surgeons supplemented the initial deep sclerectomy with trabeculotomy.

After a 20-month follow-up, the disc cup has stabilized and ocular axial length has been achieved with no additional glaucoma surgery or medications needed.

The study is published in the March issue of Der Ophthalmologe.