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Bulgarian Review of Ophthalmology

Childhood glaucoma

S. Kostova, A. Oscar, V. Haykin


Introduction: Childhood glaucoma is a relatively rare but seriously sight threatening disease. According to the literature it affects 1 out of 10 000 to 12 500 newborns. It has ethiopathological, clinical and therapeutic differences from the adult glaucoma.

Aim: The aim of the current study is to present an algorithm for diagnosis and follow-up of patients with glaucoma and the results of the examination of 9 children with primary congenital glaucoma
Methods and Materials: We have examined under general mask anestesia 18 eyes of 9 children (3 boys and 6 girls): intraocular pressure of each eye; central corneal sickness and horizontal corneal diameter.

Results: Three of the children had unilateral disease and in the rest the diseases affected both eyes. The average age of the examined children was 6 months and 5 days.

Conclusion: Childhood glaucoma is a relevant, significant and widely-discussed medico-social problem. In all cases of children with glaucoma or suspicion for such a package of tests should be performed which are costly and time-consuming. However, without these tests it is absolutely impossible to give an accurate diagnosis and hence initiate a proper therapy. More than half of the patients with primary congenital glaucoma become blind.

Full Text


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About The Authors

S. Kostova
Department of Ophthalmology, MU - Sofia Clinic of Ophthalmology, University `Alexandrovska` Hospital, Sofia

A. Oscar
Department of Ophthalmology, MU - Sofia Clinic of Ophthalmology, University `Alexandrovska` Hospital, Sofia

V. Haykin
Department of Ophthalmology, MU - Sofia Clinic of Ophthalmology, University `Alexandrovska` Hospital, Sofia