Goniotomy is useful for treating refractory glaucoma linked to chronic uveitis, according to the results of a retrospective, interventional case series published in the May issue of the American Journal of Ophthalmology.

 “Goniotomy represents a safe and effective first-line surgery for young patients with refractory glaucoma associated with chronic uveitis, although the majority of patients require glaucoma medication after the procedure,” write S.F. Freedman and colleagues from the Duke University Eye Center in Durham, North Carolina. In a retrospective chart review at Duke from 1994 to 2000, 12 patients had 19 goniotomies performed on 16 eyes for a diagnosis of refractory glaucoma associated with chronic childhood uveitis. Mean age at first goniotomy was 15.3 years (range, 6.5-30 years), with mean follow-up of 32.4 months (range, 6-84 months).

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