Management of EODG is a challenging responsibility, which starts with early detection, offering optimum surgical intervention and then going on for a life long follow up.Early detection helps in avoiding harmful rise of IOP and possibly increases the success rate of surgery. Trabeculectomy and goniotomy remain the first line surgical procedures for EODG. The rates of successful IOP control with these procedures are relatively high and the incidenceand severity of intra-operative and postoperative complications are small in comparison with all other procedures. Goniotomy, however, does not have a good success rate when done below 1 month or over 2 years of age. Trabeculectomy is generally preferred in children over the age of three years, in situations where corneal clouding prevents adequate visualization of the trabecular meshwork, and in patients with aniridia. The prognosis in this disease is related to the time of its initial presentation, initial surgical intervention, degree of optic nerve damage and later visual rehabilitation.