Symptoms of congenital glaucoma

Parents of babies with congenital glaucoma are often seen in outpatient clinics because of the urgency of their condition, therefore, parents who come to the clinic are informed as follows: parents are usually anxious after their baby is diagnosed with congenital glaucoma, but it is useless to be anxious, and the process of the baby’s visit should be properly arranged in order to better treat the baby.  These babies are often combined with some congenital anomalies, especially in the heart and blood, and some even have metabolic disorders, and these often affect the ability to safely general anesthesia, so we must first do the routine preoperative examination of general anesthesia in the outpatient clinic, which aspects of the problem immediately to the appropriate department, for active treatment. General anesthesia can be performed only after the condition is stabilized. Moreover, a good general condition can also reduce the emergence of postoperative complications.  Although some babies show symptoms of glaucoma and have high IOP, secondary factors should be excluded, such as: glaucoma due to retinoblastoma, Sturge-Weber syndrome, Peter syndrome, Manfan syndrome, Marchesani syndrome, PHPV may all cause high IOP, and only when it is clear which nature of glaucoma can be treated symptomatically The IOP can be effectively controlled. Therefore, although the baby is diagnosed with glaucoma, an ultrasound of the eye, or even an orbital CT, and a dilated fundus examination should be done.  In the process of doing these systemic and local examinations, it is important to review the IOP and corneal edema at the ophthalmology clinic frequently, and the doctor will give IOP lowering and corneal nutrition treatment according to the situation. To minimize the loss of the baby’s visual function before the surgery.  When the baby’s eye examination results are clear that the baby has congenital glaucoma and the general examination can tolerate general anesthesia, we can arrange the anti-glaucoma surgery. Before the surgery, we will also do a visual electrophysiological examination to understand the function of the optic nerve, to assess the significance of the surgery, and to measure the eye axis and corneal thickness for comparison and assessment of the effectiveness of the surgery at a later review.