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Update on congenital glaucoma

Congenital glaucoma is a global problem and poses a diagnostic and therapeutic challenge to the ophthalmologist. A detailed evaluation under general anesthesia is advisable to establish the diagnosis and plan for management. Medical therapy has a limited role and surgery remains the primary therapeu...

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Detalles Bibliográficos
Autores principales: Mandal, Anil K, Chakrabarti, Debasis
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038500/
https://www.ncbi.nlm.nih.gov/pubmed/21150027
http://dx.doi.org/10.4103/0301-4738.73683
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author Mandal, Anil K
Chakrabarti, Debasis
author_facet Mandal, Anil K
Chakrabarti, Debasis
author_sort Mandal, Anil K
collection PubMed
description Congenital glaucoma is a global problem and poses a diagnostic and therapeutic challenge to the ophthalmologist. A detailed evaluation under general anesthesia is advisable to establish the diagnosis and plan for management. Medical therapy has a limited role and surgery remains the primary therapeutic modality. While goniotomy or trabeculotomy ab externo is valuable in the management of congenital glaucoma, primary combined trabeculotomy–trabeculectomy offers the best hope of success in advanced cases. Trabeculectomy with antifibrotic agent and glaucoma drainage devices has a role in the management of refractory cases, and cyclodestructive procedures should be reserved for patients where these procedures have failed. Early diagnosis, prompt therapeutic intervention and proper refractive correction are keys to success. Management of residual vision and visual rehabilitation should be an integral part of the management of children with low vision and lifelong follow-up is a must.
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spelling pubmed-30385002011-03-02 Update on congenital glaucoma Mandal, Anil K Chakrabarti, Debasis Indian J Ophthalmol Symposium Congenital glaucoma is a global problem and poses a diagnostic and therapeutic challenge to the ophthalmologist. A detailed evaluation under general anesthesia is advisable to establish the diagnosis and plan for management. Medical therapy has a limited role and surgery remains the primary therapeutic modality. While goniotomy or trabeculotomy ab externo is valuable in the management of congenital glaucoma, primary combined trabeculotomy–trabeculectomy offers the best hope of success in advanced cases. Trabeculectomy with antifibrotic agent and glaucoma drainage devices has a role in the management of refractory cases, and cyclodestructive procedures should be reserved for patients where these procedures have failed. Early diagnosis, prompt therapeutic intervention and proper refractive correction are keys to success. Management of residual vision and visual rehabilitation should be an integral part of the management of children with low vision and lifelong follow-up is a must. Medknow Publications 2011-01 /pmc/articles/PMC3038500/ /pubmed/21150027 http://dx.doi.org/10.4103/0301-4738.73683 Text en © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Symposium
Mandal, Anil K
Chakrabarti, Debasis
Update on congenital glaucoma
title Update on congenital glaucoma
title_full Update on congenital glaucoma
title_fullStr Update on congenital glaucoma
title_full_unstemmed Update on congenital glaucoma
title_short Update on congenital glaucoma
title_sort update on congenital glaucoma
topic Symposium
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038500/
https://www.ncbi.nlm.nih.gov/pubmed/21150027
http://dx.doi.org/10.4103/0301-4738.73683
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