Abstract
ABSTRACTAimThis is a report of the incidence of bilateral cases in a cohort of primary congenital glaucoma (PCG) cases and a study of the biometric characteristics of the fellow normal eyes in unilateral cases.Materials and methodsThe charts of 134 PCG children were reviewed, of which 78 cases (58.2%) were found to have bilateral disease. The remaining 56 patients (41.8%) with unilateral disease had their fellow normal eyes compared with an age-matched cohort of ophthalmologically free children.ResultsThere were no differences between the normal fellow eyes of PCG cases and the control eyes in the corneal diameter and central corneal thickness (CCT), whereas the normal fellow eyes of PCG cases had higher intraocular pressure (IOP) and cup/disc (C/D) ratios.ConclusionThe fellow eyes of apparently unilateral PCG cases are not typically normal anatomically like other children unaffected by PCG.Clinical significanceA very high index of suspicion has to be kept for PCG cases that present apparently unilaterally, and meticulous prolonged follow-up is mandatory.How to cite this articleBayoumi NHL. Fellow Eye in Unilateral Primary Congenital Glaucoma. J Curr Glaucoma Pract 2017;11(1):28-30.
Highlights
Primary congenital glaucoma (PCG) is the most common of the childhood glaucomas.[1]
Clinical significance: A very high index of suspicion has to be kept for PCG cases that present apparently unilaterally, and meticulous prolonged follow-up is mandatory
Corresponding Author: Nader HL Bayoumi, Associate Professor, Department of Ophthalmology, Faculty of Medicine Alexandria University, Alexandria, Arab Republic of Egypt, Phone: +002034248458, +00201005268758, e-mail: naderbayoumi@ yahoo.com knowledge, there are no published studies comparing the fellow eye in unilateral cases to normal children eyes
Summary
Primary congenital glaucoma (PCG) is the most common of the childhood glaucomas.[1]. It is a potentially blinding disease, and timely appropriate management is prudent to prevent lifelong blindness. Enough, treatment is not always successful and the success rates are variable.[2] from the parents, community, and medical standpoints, laterality distribution of the disease is crucial, as well as the characteristics of the fellow – apparently normal – eyes. Corresponding Author: Nader HL Bayoumi, Associate Professor, Department of Ophthalmology, Faculty of Medicine Alexandria University, Alexandria, Arab Republic of Egypt, Phone: +002034248458, +00201005268758, e-mail: naderbayoumi@ yahoo.com knowledge, there are no published studies comparing the fellow eye in unilateral cases to normal children eyes. The aim of the current study was to report on the laterality distribution of a cohort of PCG cases operated upon in Alexandria Main University Hospital in Alexandria, Egypt, and compare the biometric characteristics of the fellow normal eyes in strictly unilateral PCG cases to a cohort of age-matched normal children eyes
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