Diffuse congenital hemangiomatosis with infantile glaucoma

Area of Science:

• Ophthalmology
• Pediatric Medicine
• Dermatology

Background:

• Infantile glaucoma is a rare condition causing increased intraocular pressure in infants.
• Multiple hemangiomas can affect various body parts, including the skin and mucous membranes.
• Vascularity in the ocular angles can complicate glaucoma surgical interventions.

Observation:

• A white male infant presented with multiple cutaneous and mucosal hemangiomas.
• At seven months, the infant developed signs and symptoms of bilateral infantile glaucoma.
• Significant vascularity within the ocular angles precluded immediate goniotomy.

Findings:

• Cyclocryotherapy was employed multiple times to manage elevated intraocular pressure.
• This therapeutic approach allowed for a subsequent safe goniotomy in one eye.
• The contralateral eye achieved adequate intraocular pressure control without surgical intervention.

Implications:

• Cyclocryotherapy serves as a viable temporizing measure for infantile glaucoma with challenging ocular anatomy.
• This case highlights the importance of tailored treatment strategies in complex pediatric glaucoma cases.
• Successful management underscores the potential for both surgical and non-surgical approaches in infantile glaucoma.