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Review
. 2019 Oct-Dec;33(4):382-388.
doi: 10.1016/j.sjopt.2019.10.002. Epub 2019 Nov 7.

Primary congenital glaucoma: An updated review

Abdulrahman H Badawi  1 , Ahmed A Al-Muhaylib  2 , Adi Mohammed Al Owaifeer  3 , Rakan S Al-Essa  4 , Sami A Al-Shahwan  1
Affiliations
Review

Primary congenital glaucoma: An updated review

Abdulrahman H Badawi et al. Saudi J Ophthalmol. 2019 Oct-Dec.

Abstract

Primary congenital glaucoma (PCG) is a rare disease affecting children early in life. PCG was considered untreatable with inevitable blindness. However, recent advances in biochemical and genetic studies, the introduction of new diagnostic tools, intraocular pressure (IOP) lowering medications and improvement of surgical techniques have led to a better understanding of this devastating disease and preserving the vision of affected children. This paper presents an updated and broad overview of PCG in terms of the epidemiology and genetic aspects, particularly in Saudi Arabia, the clinical presentation and diagnostic approach to PCG with major emphasis on the treatment options.

Keywords: Congenital; Cornea; Genetics; Glaucoma; Goniotomy; Trabeculectomy; Trabeculotomy.

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Conflict of interest statement

The authors declared that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
External photo of Haab's striae which represent a break in the Descemet layer.
Fig. 2
Fig. 2
Gonioscopy photo showing anterior insertion of the iris masking the trabecular meshwork as seen in congenital glaucoma.
Fig. 3
Fig. 3
External photo showing anterior scleral thinning and staphyloma.
Fig. 4
Fig. 4
External photo showing buphthalmos of the left eye.
Fig. 5
Fig. 5
External photo showing corneal enlargement and edema in a neonate with primary congenital glaucoma.
See this image and copyright information in PMC

References

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