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Abstract Our Study detected a high significant difference when comparing pre to post-surgical management of PCG. Incidence of glaucoma among the suspected cases was 65.8 per 100000 cases per 3 years. Conjunctivitis, NLDO, and corneal abrasion were among the highest incidence that contribute to the confusion with the diagnosis of PCG comprising 526.3, 394.7, and 78.95 per 100000, respectively. Eighty- two percent of the cases had positive consanguineous marriage that contributed to the higher incidence of PCG among other gypsies. Positive family history of PCG was detected only in 20% of the cases. Axenfeld-Rieger syndrome was presented only by 1 case. Bilateral PCG comprised 84% of the total cases. Visual acuity management comprised mostly of fix and follow, and poor fixation in 42 % and 56 % of the cases, respectively. Corneal clarity was in 88% and only 2% had corneal abrasion and the rest had corneal opacity. Most of the cases had classic trabeculectomy followed by equal percentage of both goniotomy and combined trabeculotomy-trabeculectomy. Secondary surgical management involved CTT and combined trabeculectomy with Ahmed valve. All the three measurement to assess post-surgical success rates were significantly differ whether IOP, cup diameter, or corneal diameter. Seven cases only experienced post-operative complications between hypotony, choroidal hypotony, or uncontrolled IOP. 32% of the cases gained visual acuity problems and the rest suffered non. Seven cases only required post-operative treatment. |