Congenital Glaucoma in Navi Mumbai
CONGENITAL glaucoma, or INFANTILE glaucoma, affects about 1 in 10,000 live births. It may occur without other findings (primary congenital glaucoma), associated with other syndromes, or after injury, congenital cataract extraction, or inflammation. Primary congenital glaucoma is due to failure of development or abnormal development of the trabecular meshwork. Most cases of primary congenital glaucoma are sporadic in occurrence. In the approximately 10% in which a hereditary pattern is evident, it is generally believed to be autosomal recessive in most cases. The exact incidence of congenital glaucoma in navi Mumbai is unknown.
How is congenital glaucoma detected?
Congenital glaucoma is usually detected by the parents. In infancy, the sclera of the eye is easily distensible, so that the eye enlarges when intraocular pressure is increased.
Infants with congenital glaucoma present with photophobia (shyness to light), epiphora (tearing) and blepharospasm (blinking or squeezing the eyelids). The principal clinical sign is an enlarged cornea, often bilaterally. As the disorder advances, the cornea becomes edematous and appears cloudy. The infant may become irritable to the point of burying its head in a pillow to avoid the pain caused by bright lights.The appearance of an enlarged cloudy cornea in an infant essentially makes the diagnosis of congenital glaucoma and is obvious to casual penlight examination. Prompt referral to a pediatric ophthalmologist for intervention can make the difference between sight and permanent blindness.
What is the treatment for someone with congenital glaucoma?
Treatment is surgical and often successful, although more than one operation may be necessary. The aim of pediatric glaucoma surgery is to reduce IOP either by increasing the outflow of fluid from the eye or decrease the production of fluid within the eye. One operation for pediatric glaucoma is goniotomy. Its rate of success is associated with the age of the child at the time of diagnosis, the type and severity of the glaucoma, and the surgery technique. Other surgical options are trabeculectomy and glaucoma drainage tubes. Eye doctors at Utsav Eye Clinic, Kharghar are fellowship trained and well experienced in the treatment of congenital glaucoma in Navi Mumbai.
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