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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
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Angle closure glaucoma in congenital ectropion uvea.
Grace M Wang1, Daniel Thuente2, Brenda L Bohnsack1
1Department of Ophthalmology and Visual Sciences, University of Michigan, United States.
American Journal of Ophthalmology Case Reports
|March 20, 2018
Summary
Congenital ectropion uvea can lead to angle-closure glaucoma in children. Glaucoma drainage devices in these cases showed early failure, indicating a need for complex surgical management.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
Background:
- Congenital ectropion uvea is a rare condition linked to dysplastic iridocorneal angles, potentially causing childhood glaucoma.
- This anomaly presents a unique challenge in pediatric glaucoma management.
Observation:
- Three children diagnosed with unilateral glaucoma secondary to congenital ectropion uvea were studied.
- All cases exhibited 360° ectropion uvea and iris stromal atrophy, progressing to angle closure.
Findings:
- Glaucoma drainage device implantation in these patients resulted in early plate encapsulation within 4 months.
- Multiple surgical interventions, including cycloablation or trabeculectomy, were required post-implantation.
Implications:
- Congenital ectropion uvea is a significant risk factor for angle-closure glaucoma in pediatric patients.
- Effective intraocular pressure control necessitates careful attention to angle configuration and often requires staged surgical approaches.
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