Hoskins H D, Shaffer R N, Hetherington J
J Pediatr Ophthalmol Strabismus. 1984 Jul-Aug;21(4):153-8. doi: 10.3928/0191-3913-19840701-06.
Goniotomy is a safe effective procedure in isolated trabeculodysgenesis occurring in children under the age of two years, and is preferred by the authors in all such cases when visibility allows. It may also be effective for varying periods of time in Sturge-Weber syndrome, Aniridia, Axenfeld's syndrome, and Lowe's syndrome when these occur in infancy. Trabeculotomy is generally preferred in children with trabeculodysgenesis over the age of three years, in situations where corneal clouding prevents adequate visualization of the trabecular meshwork, and in patients with aniridia. In the latter group, although goniotomy can be effective, its success rate is low. The absence of iris covering the lens does increase the risk of lenticular injury and, therefore, trabeculotomy is usually chosen.
前房角切开术对于两岁以下儿童发生的单纯小梁发育异常是一种安全有效的手术方法，在视野允许的所有此类病例中，作者更倾向于选择该方法。对于婴儿期出现的斯-韦综合征、无虹膜症、阿克森费尔德综合征和劳氏综合征，前房角切开术在不同时间段内也可能有效。对于三岁以上小梁发育异常的儿童、角膜混浊妨碍小梁网充分可视化的情况以及无虹膜症患者，通常更倾向于选择小梁切开术。在后一组患者中，虽然前房角切开术可能有效，但其成功率较低。由于缺乏虹膜覆盖晶状体确实会增加晶状体损伤的风险，因此通常选择小梁切开术。
