This space is full of a clear fluid called aqueous humour that bathes the structures of the eye and maintains its optical properties. Note stromal edema superiorly arrows. Figure 4.
After a thorough examination under anesthesia, goniotomy was performed in the right eye and at a later point in time in the left eye.
Studies are also being carried out to learn more about who is most likely to develop glaucoma, when to start treatment for people with high ocular pressure and what treatment should be used first.
Haab striae. Pathophysiology of primary and secondary congenital glaucoma. Handheld slit lamp exam during examination under anesthesia. The elevated intraocular pressure IOP can cause the eyeball itself to enlarge and injury to the cornea. Figure 14.
Transscleral diode laser cyclophotocoagulation being performed in a child with congenital glaucoma refractive to other treatments. Table 2. Yes No. Generally, the preferred mode of treatment for congenital glaucoma is surgical not medical.Congenital glaucoma (updated version)
This will help to properly rule out any secondary cause of the glaucoma and obtain baseline data before proceeding with treatment. All Rights Reserved. If your child has been prescribed eye drops to treat glaucoma, you should follow the instructions provided by the ophthalmologist.
These are the typical symptoms of congenital glaucoma, but as the disease develops, the appearance of the eyes may change due to the increased intraocular pressure; they may appear more opaque and larger than normal, especially if one eye is affected more than the other. High intraocular pressures are believed to be a consequence of increased resistance to aqueous outflow in this abnormal trabecular meshwork.
An eye after trabeculectomy.