Diagnosis and Treatment of Congenital Glaucoma.
- Author:
Ouk CHOI
1
Author Information
1. Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Anesthesia, General;
Anterior Chamber;
Atrophy;
Blepharospasm;
Corneal Edema;
Descemet Membrane;
Diagnosis*;
Glaucoma*;
Gonioscopy;
Humans;
Infant;
Intraocular Pressure;
Ophthalmoscopy;
Parturition;
Photophobia;
Trabeculectomy
- From:Journal of the Korean Ophthalmological Society
1974;15(1):92-96
- CountryRepublic of Korea
- Language:Korean
-
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.
