Childhood Glaucoma

Published on 22/03/2015 by admin

Filed under Pediatrics

Last modified 22/03/2015

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Chapter 624 Childhood Glaucoma

Glaucoma is a general term used to indicate damage to the optic nerve with visual field loss that is caused by or related to elevated pressure within the eye. It is classified according to the age of the patient at presentation and the association of other ocular or systemic conditions. Glaucoma that begins within the first 3 yr of life is called infantile (congenital); glaucoma that begins between the ages of 3 and 30 yr is called juvenile.

Primary glaucoma indicates that the cause is an isolated anomaly of the drainage apparatus of the eye (trabecular meshwork). More than 50% of infantile glaucoma is primary. In secondary glaucoma, other ocular or systemic abnormalities are associated, even if a similar developmental defect of the trabecular meshwork is also present. Primary infantile glaucoma occurs with an incidence of 0.03% (see Table 624-1 on the Nelson Textbook of pediatrics website at www.expertconsult.com).

Table 624-1 PRIMARY AND SECONDARY CHILDHOOD GLAUCOMAS

I.PRIMARY GLAUCOMAS

II.SECONDARY GLAUCOMAS