This study aimed to evaluate the relationship between clinical characteristics and visual acuity in childhood glaucoma. The study included 45 eyes of 31 patients; 33.3% with primary childhood glaucoma and 66.7% with secondary glaucoma; 53.4% of secondary cases had glaucoma associated with non-acquired ocular anomalies. At diagnosis, 41 eyes received glaucoma medical treatment. Age at diagnosis was 9.4 ±13.8 months; 54.8% were bilateral and 45.2% unilateral. IOP was 34.5 ±13.2mmHg. The most common surgery was trabeculectomy and goniotomy. Of cases with primary glaucoma, 46.7% had good final visual acuity and 53.3% were visually impaired. Of those with secondary glaucoma, 86.2% were visually impaired. The authors conclude that even with treatment, two thirds of eyes have poor final vision. Risk factors are secondary glaucoma, age at diagnosis of <3 months and interval to surgery of >3 months. This study provides useful information for discussion with parents.
Childhood glaucoma outcomes and prognosis
Reviewed by Fiona Rowe
Clinical characteristics and prognostic factors of visual outcomes in childhood glaucoma.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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