J Korean Ophthalmol Soc.  1974 Mar;15(1):92-96.

Diagnosis and Treatment of Congenital Glaucoma

• Choi O

Abstract

The term congenital glaucoma is used to indicate a state of raised introcular pressure due to an intrauterein disturbance and menifest at or shortly after birth. DIAGNOSIS: Dicision as to the presence or absence of primary congenital glaucoma (buphthalmos) in infants is not always easy. Correct diagnosis and further dicision as to the proper form of treatment necessitates considering all the factors. Early signs; 1. Epiphera, photophobia and blepharospasm. 2. Corneal edema. 3. Corneal enlargement. 4. Tears in Descemet's membrane. 5. Deep anterior chamber. 6. Cupping and atrophy of optic discs. Late signs; Late changes are the result of progression of earlier signs. Examination. Office examination. Examination under general anesthesia. 1. External examination. 2. Corneal diameter measurement. 3. Intraocular pressure and facility of outflow. 4. Ophthalmoscopy. 5. Gonioscopy. TREATMENT: Medical; Surgical; 1. Goniotomy. 2. Goniopuncture. 3. Fistulizing procedure. 4. Cyclodiathermy. 5. Cyclocryotherapy.

MeSH Terms

Anesthesia, General
Anterior Chamber
Atrophy
Blepharospasm
Corneal Edema
Descemet Membrane
Diagnosis*
Glaucoma*
Gonioscopy
Humans
Infant
Intraocular Pressure
Ophthalmoscopy
Parturition
Photophobia
Trabeculectomy