[Congenital glaucoma at CNHU in Cotonou: a review of 27 cases]

The authors presented the results of a retrospective study relating to 27 cases of congenital glaucoma indexed on the service of ophthalmology of CNHU at Cotonou over one 10 years period going from January 1, 1994 at December 31, 2003. Its frequency was 0.08%. The age at the time of the diagnosis varied from 1 day to 60 months, with a 8.1 months average. A male prevalence state noted (63%). The 27 children of our series belonged to 25 families of which 2 comprised each one 2 children reached. Consanguinity was found in 16% of the cases. The affection was bilateral in 25 cases (92.6%), that is to say on the whole 52 eyes reached. The pre-operative intraocular pression varied from 20 to 42 mmHg, with an average of 29.4 mm Hg +/- 6.5 mm Hg. The report ratio cup/disc went from 0.3 to 0.8 with an average of 0.6 +/- 0.2. On the 52 eyes reached, 43 were operated; all profited from a trabeculectomy. A pressional standardization was obtained in 65.2% of the cases after only one trabeculectomy with or without medical treatment. The authors insist to the preventive measures by a genetic counsel in the families with risk and also on a precocity of diagnosis and the surgical treatment.