Diagnosis and Treatment of Congenital Glaucoma.

Choi, Ouk

Original Article

Journal of the Korean Ophthalmological Society 1974;15(1):92-96.
Published online January 1, 1974.

Diagnosis and Treatment of Congenital Glaucoma.

Ouk Choi

Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

안과임상학보 : 백내장에 대한 최신지견 ; 선천성녹내장의 진단과 치료

최억 ( Ouk Choi )

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.