Review on the Management of Primary Congenital Glaucoma.

J Curr Glaucoma Pract

Clinical Assistant Professor, Department of Ophthalmology, The University of Hong Kong Hong Kong.

Published: March 2016

AI Article Synopsis

  • Primary congenital glaucoma (PCG) is a rare eye condition that has been noted in medical history for over 2400 years but still presents challenges for ophthalmologists today.
  • The article discusses the basics of PCG, including its causes, diagnosis, and a major focus on various treatment methods like goniotomy and trabeculectomy, along with newer procedures.
  • Due to its rarity, most research on PCG is retrospective and lacks uniform definitions, making it essential for ophthalmologists to critically evaluate treatment outcomes and tailor plans for individual patients.

Article Abstract

Despite being documented in medical history from over 2400 years ago, primary congenital glaucoma (PCG), being a disease with low incidence rate, remains a challenge to ophthalmologists. The article provides a broad overview on the pathophysiology and diagnostic approach to PCG with major emphasis on the treatment options of PCG. While reviewing on the well-established treatment options, namely goniotomy, trabeculo-tomy and combined trabeculotomy-trabeculectomy, emphasis has also been made to recent updates on secondary treatments: trabeculectomy, antimetabolites, glaucoma-drainage devices and cyclodestructive procedures. It is, however, important to note that the rarity of PCG places limitations on study design, most studies are, thus, retrospective, nonrandomized and have different definitions of surgical success. Ophthalmologists need to interpret the results with critical thinking and formulate individual treatment plans for each patient. How to cite this article: Yu Chan JY, Choy BNK, Alex LK Ng, Shum JWH. Review on the Management of Primary Congenital Glaucoma. J Curr Glaucoma Pract 2015;9(3):92-99.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779948PMC
http://dx.doi.org/10.5005/jp-journals-10008-1192DOI Listing

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