Case Series
Year: 2023 | Month: July-September | Volume: 8 | Issue: 3 | Pages: 42-47
DOI: https://doi.org/10.52403/ijshr.20230308
Congenital Glaucoma: A Case Series
Dr. Mahvish Naser Shaikh1, Dr. Abhijit Shinde2, Dr Sushruta Kumar3, Dr. Suresh Waydande4, Dr. Sunil Natha Mhaske5
1Junior Resident, Department of Paediatrics, 2Associate Professor, Department of Paediatrics, 3Associate
Professor, Department of Paediatrics, 4Head of Department of Paediatrics, 5Dean, Dr. Vikhe Patil Memorial
Medical College and Hospital, Ahmednagar, Maharashtra, India
Corresponding Author: Dr. Mahvish Naser Shaikh
ABSTRACT
Primary Congenital Glaucoma is an inherited condition which occurs during development of eye. There is defect of trabecular meshwork as well as anterior chamber angle of eye, with consequent high intra ocular pressure of eye.Buphthalmos (Greek for ox eye) was coined in 4th century BC by Hippocrates, this name suggests large eyeballs arising from chronic IOP elevation. Primary congenital glaucoma (PCG) is most common non-syndromic glaucoma occurring in infancy, which can lead to blindness or can offer a lifetime of vision if diagnosed and treated properly. Congenital glaucoma presents with classic trio of symptoms i.e. photophobia, epiphora, blepharospasm and typical signs comprising of corneal clouding, megalocornea, and buphthalmos.[1] Delayed diagnosis, limited treatment and inadequate follow up leads to a heavier burden on the person and community in developing world.[2] Most of the primary congenital glaucoma(PCS) cases are sporadic, while 10-40% familial association, Autosomal recessive with incomplete or variable penetrance pattern and infrequently autosomal dominant. PCG is more common in populations with a larger prevalence of consanguinity and shows variable expressivity and phenotypes in association with CYP1B1 gene mutations. Definitive treatment is early surgical intervention.[3] The purpose of this study is to report three cases of congenital glaucoma presenting to a tertiary care hospital. First case is a neonate with incidental finding of buphthalmos which was then investigated, second case is about a month-old infant with congenital glaucoma and the third case deals with the detailed examination, treatment given for the same.
Keywords: Blue eye, Buphthalmos, Congenital glaucoma, Intra-ocular pressure, Primary Congenital glaucoma