Review on the Management of Primary Congenital Glaucoma

JOURNAL TITLE: Journal of Current Glaucoma Practice

Author
1. Bonnie NK Choy
2. Julia Yan Yu Chan
3. Jennifer WH Shum
4. Alex LK Ng
ISSN
0974-0333
DOI
10.5005/jp-journals-10008-1192
Volume
9
Issue
3
Publishing Year
2015
Pages
8
Author Affiliations
    1. Clinical Assistant Professor, Department of Ophthalmology, The University of Hong Kong Hong Kong
    1. Clinical Assistant Professor, Department of Ophthalmology, The University of Hong Kong Hong Kong
    1. Clinical Assistant Professor, Department of Ophthalmology, The University of Hong Kong Hong Kong
    1. Clinical Assistant Professor, Department of Ophthalmology, The University of Hong Kong Hong Kong
  • Article keywords
    Primary congenital glaucoma, Childhood glaucoma, Goniotomy, Trabeculotomy, Pediatric glaucoma surgery

    Abstract

    Despite being documented in medical history from over 2400 years ago, primary congenital glaucoma (PCG), being a disease with low incidence rate, remains a challenge to ophthalmologists. The article provides a broad overview on the pathophysiology and diagnostic approach to PCG with major emphasis on the treatment options of PCG. While reviewing on the well-established treatment options, namely goniotomy, trabeculo-tomy and combined trabeculotomy-trabeculectomy, emphasis has also been made to recent updates on secondary treatments: trabeculectomy, antimetabolites, glaucoma-drainage devices and cyclodestructive procedures. It is, however, important to note that the rarity of PCG places limitations on study design, most studies are, thus, retrospective, nonrandomized and have different definitions of surgical success. Ophthalmologists need to interpret the results with critical thinking and formulate individual treatment plans for each patient.

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