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Profile of childhood glaucoma at a tertiary center in South India

Sirisha Senthil1, Swathi Badakere1, Jonnadula Ganesh1

  • 1VST Glaucoma Center, L V Prasad Eye Institute, Banjara Hills, Hyderabad, Telangana, India.

Indian Journal of Ophthalmology
|February 20, 2019
PubMed

Insights

Primary congenital glaucoma (PCG) is the most common childhood glaucoma, often treated with combined trabeculotomy and trabeculectomy (CTT). Preventable acquired glaucomas, like steroid-induced and traumatic, require attention.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Public Health

Background:

  • Childhood glaucoma encompasses a range of conditions affecting vision in young individuals.
  • Understanding the prevalence and types of pediatric glaucoma is crucial for early diagnosis and intervention.

Purpose of the Study:

  • To determine the prevalence of different childhood glaucoma types.
  • To describe their clinical characteristics and treatment modalities.
  • To identify common causes and effective management strategies for pediatric glaucoma.

Main Methods:

  • Prospective study of children newly presenting with glaucoma between March 2013 and May 2014.
  • Classification of childhood glaucomas according to the Congenital Glaucoma Research Network criteria.
  • Analysis of clinical features, affected eyes, and treatment approaches.

Main Results:

  • Primary glaucomas accounted for 56% of cases, with primary congenital glaucoma (PCG) being the most frequent (37.64%).
  • Secondary glaucomas comprised 44%, including those linked to ocular anomalies, acquired conditions (steroid-induced, traumatic), and post-cataract surgery.
  • Combined trabeculotomy and trabeculectomy (CTT) was the primary surgical intervention for PCG, while medical management dominated secondary glaucomas.

Conclusions:

  • Primary congenital glaucoma (PCG) is the most prevalent form of childhood glaucoma in this cohort.
  • Combined trabeculotomy and trabeculectomy (CTT) is the most frequently employed surgical procedure for PCG.
  • Steroid-induced and traumatic glaucomas are significant acquired forms requiring preventative strategies.
Abstract

Keywords:
Childhood glaucoma in IndiaSouth Indiachildhood glaucomascongenital glaucomaprevalence of glaucoma in childrenprofile of glaucoma in children

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