Goniotomy (Goniolomy), Trabeculotomy (Trabeculotomy)

Goniotomy (Goniolomy), Trabeculotomy (Trabeculotomy) is a surgical operation performed for congenital glaucoma (see Buphthalmos). An incision is made inside the eye in Schlemm's canal using a thin scalpel. This operation is the first stage of goniopuncture.

Goniotomy and trabeculotomy are used to treat congenital glaucoma in children. These operations help improve the outflow of intraocular fluid from the eye and reduce intraocular pressure.

In a goniotomy, the surgeon makes a small incision in the trabecular meshwork of the eye to create a new pathway for fluid to drain. Trabeculotomy involves inserting a small probe into the eye's Schlemm's canal and creating an opening in the trabecular meshwork.

These procedures are usually performed under general anesthesia. They can be carried out separately or in combination with each other, depending on the situation. Goniotomy and trabeculotomy are often the first step in surgical treatment of glaucoma in children.



Goniopuncture is a surgical procedure that is used to treat glaucoma. It involves creating an opening in the eye's Schlemm's canal. Schlemm's canal is located at the back of the eye and is part of the system that controls intraocular pressure.

Goniotomy is the first stage of goniopuncture, which involves making an incision in Schlemm's canal. This incision reduces intraocular pressure, which can help reduce glaucoma symptoms and improve vision.

Trabeculotomy is the second stage of goniopuncture, which also involves an incision in Schlemm's canal, but this time it is made inside the canal. This incision helps increase the space in the canal, which also reduces intraocular pressure and improves vision.



Goniotomy is a surgical procedure that involves removing an obstacle to the flow of aqueous humor. One or more trabeculae are excised in the area of ​​the body or the upper edge of the iris.

Such interventions make it possible to achieve normalization of the structure in the area of ​​the anterior segment of the anterior segment, ensuring normal VG flow