الفهرس 
IntroductiionOnly 14 pages are availabe for public view
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Abstract
Pediatric glaucoma is any glaucoma occurring during the first several years of life, generally accepted as the first 3 years of life. Most forms of glaucoma that present in childhood result from aqueous humour outflow obstruction due to abnormal development of the anterior chamber angle, ocular inflammation, or trauma. Treatment of glaucoma in the pediatric population is frequently challenging and may require multiple surgical interventions.
Primary surgical intervention includes angle surgery as the first line of treatment (goniotomy & trabeculotomy) with a high success rate in selected cases, Trabeculectomy and combined trabeculotomy & trabeculectomy are effective lines in primary surgical treatment as well.
Surgical treatment of recurrent cases include; trabeculectomy , augmented trabeculectomy, glaucoma drainage devices & cyclodestructive procedures.
The success rate of trabeculectomy in primary congenital glaucoma is variable. It has been reported in pediatric patients that trabeculectomy without adjunctive antimetabolites achieves a suc¬cessful outcome in 30% to 50% of cases.
Augmented trabeculectomy increases success of trabeculectomy in pediatric patients to 56% - 95%.
Cyclodestructive procedures have been reserved for more refractory cases of glaucoma with little or no visual potential. They have been carried out by various methods including surgical excision, diathermy, ultrasound, cryotherapy and laser.