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Chapter-04 Pediatric Glaucomas

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Freeman Nicola
ISBN
9788184489583
DOI
10.5005/jp/books/11383_4
Edition
1/e
Publishing Year
2010
Pages
4
Author Affiliations
1. University of Stellenbosch, Tygerberg Academic Hospital, Cape Town, South Africa, University of Stellenbosch, Tygerberg Academic Hospital, Cape Topwn, South Africa
Chapter keywords
pediatric glaucomas, primary congenital glaucoma, primary infantile glaucoma, primary juvenile glaucoma, neurofibromatosis, hyperplastic primary vitreous, intraocular neoplasm, steroid induced glaucomas, corneal scarring, optic nerve damage, amblyopia secondary to myopia

Abstract

The pediatric glaucomas are a heterogeneous group of conditions. Primary maldevelopment of the aqueous outflow system may be named primary congenital glaucoma when presenting at birth, primary infantile glaucoma when presenting at birth to three years of age or primary juvenile glaucoma when presenting at three to sixteen years old. The secondary pediatric glaucomas include the secondary developmental glaucomas, that is, aniridia, Sturge-Weber/periorbital port wine stain, neurofibromatosis, hyperplastic primary vitreous, Peter’s anomaly and the secondary pediatric glaucomas, that is, aphakic, uveitic, traumatic, cicatricial ROP, ectopia lentis, intraocular neoplasm and steroid induced glaucomas. Clinical presentation, differential diagnosis, and management are explained. Visual loss in childhood glaucoma is multifactorial. It may result from corneal scarring, optic nerve damage or amblyopia secondary to myopia, astigmatism or anisometropia.

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