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Published on: February 15, 2022
Pediatric genetic diseases causing glaucoma
Parul Ichhpujani1, Rohan B Singh1
1Glaucoma Service, Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.
Insights
Genetic factors significantly influence glaucomatous optic neuropathy in children and adolescents. Understanding these inherited disorders is crucial for comprehensive glaucoma management beyond intraocular pressure reduction.
Area of Science:
- Ophthalmology
- Genetics
- Pediatrics
Background:
- Glaucomatous optic neuropathy can result from various systemic factors.
- Several genetic conditions are known to cause glaucoma in pediatric populations, including Axenfeld-Reiger syndrome, aniridia, Marfan syndrome, and neurofibromatosis type 1.
Purpose of the Study:
- To highlight the role of systemic factors and genetic conditions in pediatric glaucoma.
- To emphasize the importance of recognizing associated systemic diseases in glaucoma management.
Main Methods:
- Review of literature on genetic causes of glaucoma in children and adolescents.
- Analysis of advancements in genetic research related to inherited glaucoma disorders.
Main Results:
- Genetic research has improved the understanding of fundamental causes of glaucoma in inherited disorders.
- Multiple systemic associations exist with glaucoma, requiring clinical awareness.
Conclusions:
- Effective glaucoma management requires addressing systemic associations and underlying disease processes, not solely focusing on intraocular pressure.
- Clinicians must be familiar with the spectrum of genetic conditions linked to pediatric glaucoma for optimal patient care.
Abstract:
Glaucomatous optic neuropathy may be considered as an endpoint of multiple systemic factors. Genetic conditions commonly causing glaucoma in children and adolescents include Axenfeld-Reiger syndrome, aniridia, Marfan syndrome, Weill-Marchessani syndrome, Sturge-Weber syndrome, Rubinstein-Taybi syndrome, nevus of Ota, congenital rubella and neurofibromatosis type 1. In the recent years, with the advancements in genetic research our understanding of the fundamental causes of glaucoma associated with inherited disorders has improved. In addition to intraocular pressure reduction, it is important for the clinician to be familiar with the multiple systemic associations with glaucoma, to re-evaluate treatment frequently, and to target the underlying disease process, if present.
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