Management of Primary Congenital Glaucoma

Abstract

To study management of primary congenital glaucoma in a defined population of the Qalyubia governorate ,Egypt. Patients and methods The present study was a retrospective chart review of 28 children(48)eyes, who presented with PCG and were operated upon between January 2013 and December 2017 at the Ophthalmology Department of Benha University Hospital.The charts were reviewed for demographics as well as clinical data. Postoperative data were retrieved till the end of the follow-up period. Complications were noted, and success rates were studied. Results The mean age±SD (range) of the study population at presentation was 9.1±17.5 months, and of the follow-up period was 17.5±10.8 months.The most common primary glaucoma surgical procedure performed trabeculectomy with mitomycin C (36 procedures). The mean values (range) of preoperative intraocular pressure (on no intraocular pressure lowering therapy), corneal diameter and cup/disc ratio of the study eyes were 26.2 ±5.4 mmHg,13.6±0.8mm, 0.66± 0.1, respectively, and postoperatively at last follow-up were12.9±4.7mmHg, 12.9±0.9mm, 0.41±0.2. The most common complications were peaked pupil (10.5%), followed by cataract (8.4%) and tube endothelial touch (6.3%). Conclusion Most PCG patients present in the first 6 months of life, so that the most commonly performed procedure was trabeculectomy augmented with mitomycin-C. Meticulous, continuous and prolonged follow-up is mandatory for all operated cases to ensure long-term success.