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Arch Ophthalmol. 2001;119:134-135.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Infantile glaucoma is often initially treated with a surgical goniotomy or trabeculotomy. A goniotomy is not possible if the cornea is too cloudy, despite preoperative glaucoma medications and removal of the corneal epithelium. Bimanual endoscopic goniotomy has been reported in 1 child, but this technique requires great dexterity to maintain the endoscopic image on the needle tip.¹ In the following case, we used a new technique, coaxial endoscopic goniotomy,² that allowed a goniotomy to be performed when the anterior chamber angle could not be distinguished through the surgical gonioprism.

Report of a Case

A 19-month-old girl was referred with a several-month history of film covering both eyes. The child was photophobic, tearing, and had bilateral buphthalmos with extremely cloudy corneas. She was prescribed timolol maleate, latanoprost, and acetazolamide sodium syrup while undergoing treatment for otitis media. She had no other health problems. An examination under anesthesia 9 days later revealed intraocular pressures of 31 . . . [Full Text of this Article]

Comment
Reprints: Karen M. Joos, MD, PhD, Department of Ophthalmology and Visual Sciences, Vanderbilt University, 1215 21st Ave S, 8017 MCE, Nashville, TN 37232-8808. (e-mail: karen.joos@mcmail.vanderbilt.edu).