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Pediatric glaucoma (congenital and developmental)
Pediatric Ophthalmology
Key Points
- •The classic triad of PCG is epiphora, photophobia, and blepharospasm - a watery eye in an infant is glaucoma until proven otherwise
- •Haab striae (horizontal Descemet breaks) and megalocornea (corneal diameter ≥12 mm in first year) are pathognomonic of PCG
- •Surgery is the primary treatment for PCG - goniotomy (clear cornea) or trabeculotomy (hazy cornea); medical therapy is temporising only
- •Brimonidine is contraindicated in children <2 years - causes CNS depression, apnoea, bradycardia
- •Cupping reversal after IOP normalisation is pathognomonic of childhood glaucoma and does NOT occur in adult glaucoma
- •Amblyopia treatment is equally important as IOP control - even perfect surgery fails if amblyopia is untreated
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Keep reading Pediatric glaucoma (congenital and developmental)
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations