<prompt> Initial treatment of buphthalmos is ?Laser trabeculolastyGoniotomyTopical pilocarpineCarbonic anhydrase inhibitors  <response>: Ans. is b i.e., Goniotomy Treatment of congenital glaucoma Unlike adult glaucoma. the initial treatment for congenital glaucoma is often surgical. A drainage angle surgery is often recommended for congenital glaucoma. Surgical procedures used are :- Goniotomy Trabeculotomy - can be performed with corneal clouding Trabeculcctomy Combined trabeculotomy and trabeculectomy Medications are not very effective. However, IOP is lowered by use of hyperosmotic agents, acetazolamide and beta- blockers till surgery is taken up. Miotics are of no use. 