AIM:To investigate the outcome of trabeculotomy and/ or goniotomy for pediatric aphakic glaucoma. METHODS:Retrospective chart review of consecutive children who had congenital cataract surgery between 1997 and 2010 and required goniotomy and/or trabeculotomy for aphakic glaucoma.Treatment success was defined as postoperative intraocular pressure≤24mmHg despite topical medication use,avoidance of trabeculectomy or shunt placement,and no visually significant complications in the follow-up period. Exclusion criteria included a diagnosis of anterior segment dysgenesis,microcornea,and glaucoma at the time of cataract surgery,and follow-up less than 1 year. RESULTS:Totally 10 patients 12 eyes met inclusion criteria.Of theses,2 eyes had goniotomy alone,2 eyes had goniotomy followed by trabeculotomy,and 8 eyes had trabeculotomy alone.Mean IOP before angle surgery was 35±10mmHg.Mean IOP at the last recorded visit was 22±4mmHg(P=0.0005).Treatment success was observed in 7 of the 12 eyes(58%):5 eyes(42%) were successful after a single angle surgery,each involving an initial trabeculotomy;2 eyes(17%) underwent subsequent shunt placement after initial goniotomy at 6 months and 1.3 years after the last angle surgery. CONCLUSION:When intraocular surgery is indicated to control IOP in pediatric aphakic glaucoma,trabeculotomy and/or goniotomy can be successful in the majority of eyes and may decrease the need for filtering and shunting procedures.