Newborn Glaucoma with Imperforate Pupil

A 1-month-old child presented with features of newborn glaucoma and megalocornea, corneal edema, and imperforate pupil with uveal tissue plastered over the back surface of the cornea of the left eye. On examination under anesthetic, newborn glaucoma with imperforate pupil was diagnosed. This video highlights the surgical technique of trabeculectomy, mechanical separation of the iris from the inner surface of the cornea with the help of an iris spatula, and creation of a pupillary aperture by an automated cutter used for vitrectomy. A small air bubble was injected into the anterior chamber. Postoperatively, the corneal edema cleared and the child completed 2.5 years of follow-up with a Teller visual acuity of 20/32 in the left eye. There were few linear corneal scars and the pupillary axis was clear.