Glaucoma
An increase in intraocular pressure is called glaucoma.
Anatomical
details in relation to glaucoma.
In children, glaucoma results due to
improper development of the angle of the eye. This leads to problems with
the drainage of the aqueous out of the eye, causing increased pressure and
glaucoma.
Symptoms in the child -
| Watering from the eyes |
| Light-sensitivity |
| Eyes appear larger |
An EUA may be required. Children may not
co-operate for detail examination. The doctor may need to anaesthetize the
child and check his eye thoroughly while he is asleep. This is Examination
Under Anaesthesia or EUA.
Measurement of Intraocular Pressure is done. The angle of the eye is examined
with a special type of lens.
Management-
Eye drops are not very helpful as sole treatment,
in children.
Surgery-
| Goniotomy |
| Trabeculotomy |
| Trabeculectomy |
| Trabeculotomy with Trabeculectomy |
| Seton insertion |
| Use of Antimitotic drugs like Mitomycin locally during surgery. |
Success rate with single surgery is not very high. Therefore multiple
procedures may be required. Drug instillations may be required inspite of
surgery.
Prolonged high pressure in the eye can cause destruction of optic nerve and
blindness, therefore early detection is important.
Multiple and prolonged follow-up is required.
|