The article analyzes the results of the algorithm for managing children with refractory glaucoma, which included: preparation and conduct of surgical treatment, analysis of the postoperative period of sick children with refractory glaucoma. The total number of children was 478 diagnosed with glaucoma. Of these, 82.1%, 410 children underwent surgical treatment. 30.2% (125 children) required a second operation. The results of the analysis of the clinical and functional state of the organ of vision in children for the period from 2016 to 2020 are given. The indications for repeated surgical treatment with the use of drains are described in detail.