Draeger J
Universitäts-Augenklinik, Hamburg.
Padiatr Padol. 1989;24(2):113-21.
An overview about the classification, diagnostic and therapy of the congenital glaucomas is given. The morphological findings play an important role in the classification as well as in the diagnostic procedure. Tonometry, Sonioscopy, corneal diameter measurements, oculometry and the evaluation of the optic disc are the main diagnostic criterias. The specific normal values for newborn babies and small children are demonstrated. Up to now no satisfactory medical treatment is available for the congenital glaucomas. Goniotomy is the operation of choice. The technique of goniotomy and their modifications leeding to the cyclodialysis ab interno are described. Own longtime results of goniotomy are finally demonstrated.