infantile glaucoma

Introduction

Occurs within the 1st 3 years of life. Glaucoma is considered congenital if present at birth.

Etiology

• multifactorial inheritance
• developmental anomaly of the iridocorneal angle

Clinical manifestations

• corneal clouding
• excess tearing
• photophobia
• blepharospasm
• corneal enlargement (horizontal diameter > 13 mm)
• cup/disc ratio > 0.3 or asymmetry of the disc/cup ratio between the 2 eyes
• irregular corneal reflex

Laboratory

• see ARUP consult

Management

• surgery
• laser trabeculoplasty
• goniotomy

More general terms

• primary glaucoma