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Primary Congenital Glaucoma (cont.)

Is Follow-up Necessary After Treatment of Primary Congenital Glaucoma?

Frequent follow-up visits are needed after surgery and close monitoring if the eye pressures and optic nerves will be necessary throughout the patient's life. The optic nerve remains vulnerable if the eye pressure begins to rise again for any reason.

Additionally, children will need close monitoring of their refractions. If the eye is found to have significant myopia (nearsightedness), hyperopia (farsightedness), or astigmatism, glasses or contact lenses may be used to prevent amblyopia (blurred or lazy eye). If amblyopia is already present, a regimen of glasses or contacts together with patching may be needed.

If the cornea, lens, or other parts of the eye are scarred or damaged as a result of the eye pressure, the inflammation (swelling), or the surgical treatment, additional procedures may be necessary, as well.

Is It Possible to Prevent Primary Congenital Glaucoma?

Primary congenital glaucoma cannot be prevented. Many cases are genetic, inherited as a recessive trait, meaning that it might skip generations and may be difficult to trace in the family history. Once suspected, early treatment from an ophthalmologist can reduce the odds of permanent vision loss.

What Is the Prognosis of Primary Congenital Glaucoma?

The prognosis depends on both the age of onset and the timing of initial treatment. PCG that is present at birth carries the highest risk for vision loss. The most favorable outcome is seen in infants whose symptoms appear between 3-12 months of age and undergo prompt treatment. Thorough treatment includes not just lowering the eye pressure but also promptly addressing any additional factors such as refractive error, corneal/lens damage, and amblyopia. Close follow-up to detect any new complications as they arise will also improve the prognosis.

Support Groups and Counseling for Primary Congenital Glaucoma

Parents and caregivers must understand that elevated IOP can recur at any age in a child with primary congenital glaucoma. For this reason, regular eye examinations with an ophthalmologist are very important.

Support groups and counseling might also be available through various organizations specializing in eye care.

Medically Reviewed by a Doctor on 5/9/2016
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Read What Your Physician is Reading on Medscape

Glaucoma, Primary Congenital »

By definition, primary congenital glaucoma is present at birth; however, its manifestations may not be recognized until infancy or early childhood.

Read More on Medscape Reference »


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