Abstract
Purpose
To correlate the features of certain types of infantile glaucoma with the progression and the prognosis of the disease, highlighting probable risk factors.
Methods
Seventy-six patients with pediatric glaucoma were recruited in this retrospective study. All patients underwent ophthalmological examination in the Department of Ophthalmology of the Saarland University Medical Center from January 2001 to December 2012. Our pediatric patients were classified into four different categories of glaucoma: (1) primary congenital glaucoma (presenting buphthalmus), (2) aniridia-related glaucoma, (3) Peters/Rieger’s anomaly-related glaucoma and (4) congenital cataract-related glaucoma. Personal data comprised age, sex, nationality, systemic diseases and gestational age. The best-corrected visual acuity (BCVA), the cup–disk ratio (CDR), the intraocular pressure (IOP), the corneal diameter and thickness, along with the Haab striae and corneal haze, were recorded.
Results
The majority of the children were male (58%) and suffered from aniridia-related glaucoma (38%). Children with aniridia exhibited the worst BCVA. The CDR and IOP were significantly higher in children with primary congenital glaucoma, compared to the other groups, at the first visit. Those children also were with the largest corneal diameter and prevalence of Haab striae compared to the rest groups, whereas corneal haze was found more often and was more pronounced in children with Peters/Rieger’s syndrome.
Conclusions
We concluded that glaucoma was earlier detected in children with primary congenital glaucoma, who exhibited increased corneal diameter and high percentage of Haab striae comparing to the other groups. However, these children responded successfully to any therapeutic intervention, exhibiting better BCVA and IOP values than the rest groups at the second visit.
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References
Durnian JM, Cheeseman R, Kumar A, Raja V, Newman W, Chandna A (2010) Childhood sight impairment: a 10-year picture. Eye (Lond) 24(1):112–117
Bhattacharjee H, Das K, Borah RR, Guha K, Gogate P, Purukayastha S, Gilbert C (2008) Causes of childhood blindness in the northeastern states of India. Indian J Ophthalmol 56(6):495–499
Dorairaj SK, Bandrakalli P, Shetty C, Misquith D, Ritch R (2008) Childhood blindness in a rural population of southern India: prevalence and etiology. Ophthalmic Epidemiol 15(3):176–182
Taylor RH, Ainsworth JR, Evans AR, Levin AV (1993) The epidemiology of pediatric glaucoma: the Toronto experience. J AAPOS 3(5):308–315
Aponte EP, Diehl N, Mohney BG (2010) Incidence and clinical characteristics of childhood glaucoma: a population-based study. Arch Ophthalmol 128(4):478–482
Qiao CY, Wang LH, Tang X, Wang T, Yang DY, Wang NL (2009) Epidemiology of hospitalized pediatric glaucoma patients in Beijing Tongren Hospital. Chin Med J 122(10):1162–1166
Beck AD (2001) Diagnosis and Management of pediatric glaucoma. Pediatr Ophthalmol 14(3):501–512
Idrees F, Vaideanu D, Fraser SG, Sowden JC, Khaw PT (2006) A review of anterior segment dysgeneses. Surv Ophthalmol 51(3):213–231
Moore W, Nischal KK (2007) Pharmacologic management of glaucoma in childhood. Paediatr Drugs 9(2):71–79
Tamm ER (2011) Development of the iridocorneal angle and congenital glaucoma Ophthalmologe 108(7):610-4, 616-7. (Review)
Tatham A, Odedra N, Tayebjee S, Anwar S, Woodruff G (2010) The incidence of glaucoma following paediatric cataract surgery: a 20-year retrospective study. Eye (Lond) 24(8):1366–1375
McMahon CD, Hetherington J Jr, Hoskins HD Jr, Shaffer RN (1981) Timolol and pediatric glaucomas. Ophthalmology 88(3):249–252
Edén U, Beijar C, Riise R, Tornqvist K (2008) Aniridia among children and teenagers in Sweden and Norway. Acta Ophthalmol 86(7):730–734
Gramer E, Reiter C, Gramer G (2012) Glaucoma and frequency of ocular and general diseases in 30 patients with aniridia: a clinical study. Eur J Ophthalmol 22(1):104–110
Bussières JF, Therrien R, Hamel P, Barret P, Prot-Labarthe S (2009) Retrospective cohort study of 163 pediatric glaucoma patients. Can J Ophthalmol 44(3):323–327
Tonoki H, Harada N, Shimokawa O, Yosozumi A, Monzaki K, Satoh K, Kosaki R, Sato A, Matsumoto N, Iizuka S (2011) Axenfeld-Rieger anomaly and Axenfeld-Rieger syndrome: clinical, molecular-cytogenetic, and DNA array analyses of three patients with chromosomal defects at 6p25. Am J Med Genet A 155A(12):2925–2932
Mendes MH, Sakata L, Betinjane AJ (2011) Central corneal thickness and its correlations with other ocular biometric data in patients with congenital glaucoma. Arq Bras Oftalmol 74(2):85–87
Jordão ML, Costa VP, Rodrigues Mde L, Paula JS (2013) Comparison of dynamic contour tonometry and Goldmann applanation tonometry in relation to central corneal thickness in primary congenital glaucoma. Graefes Arch Clin Exp Ophthalmol 251(1):117–121
Lopez JP, Freedman SF, Muir K, Duncan L, Stephens D, Atenafu E, Levin AV (2011) Central corneal thickness in children and adolescents with pediatric glaucoma and eye disorders at risk of developing glaucoma. J Pediatr Ophthalmol Strabismus 48(2):108–116
Lee H, Khan R, O’Keefe M (2008) Aniridia: current pathology and management. Acta Ophthalmol 86(7):708–715
Khan AO (2011) Conditions that can be mistaken as early childhood glaucoma. Ophthalmic Genet 32(3):129–137
Khan AO, Aldahmesh MA, Al-Abdi L, Mohamed JY, Hashem M, Al-Ghamdi I, Alkuraya FS (2011) Molecular characterization of newborn glaucoma including a distinct aniridic phenotype. Ophthalmic Genet 32(3):138–142
Brémond-Gignac D (2002) Sturge–Weber–Krabbe syndrome. J Fr Ophtalmol 25(6):655–656
Loi M (2006) Lowe syndrome. Orphanet J Rare Dis 1:16
Roulez FM, Schuil J, Meire FM (2008) Corneal opacities in the Hallermann–Streiff syndrome. Ophthalmic Genet 29(2):61–66
Snead MP, McNinch AM, Poulson AV, Bearcroft P, Silverman B, Gomersall P, Parfect V, Richards AJ (2011) Stickler syndrome, ocular-only variants and a key diagnostic role for the ophthalmologist. Eye (Lond) 25(11):1389–1400. https://doi.org/10.1038/eye.2011.201
Kotaniemi K, Sihto-Kauppi K (2007) Occurrence and management of ocular hypertension and secondary glaucoma in juvenile idiopathic arthritis-associated uveitis: an observational series of 104 patients. Clin Ophthalmol 1(4):455–459
Tejada P, Enríquez E, Del Valle JMR, Barceló A, Gutiérrez E, de Inocencio J (2012) Juvenile idiopathic arthritis-associated uveitis complicated by glaucoma and Brown’s syndrome. Rheumatology (Oxf) 51(9):1729–1730
Burglen L, Chantot-Bastaraud S, Garel C, Milh M, Touraine R, Zanni G, Petit F, Afenjar A, Goizet C, Barresi S, Coussement A, Ioos C, Lazaro L, Joriot S, Desguerre I, Lacombe D, des Portes V, Bertini E, Siffroi JP, de Villemeur TB, Rodriguez D (2012) Spectrum of pontocerebellar hypoplasia in 13 girls and boys with CASK mutations: confirmation of a recognizable phenotype and first description of a male mosaic patient. Orphanet J Rare Dis 7:18
Mandal AK, Hornby SJ, Jones RB (2002) Congenital hydrocephalus associated with congenital glaucoma and natal teeth. Indian J Ophthalmol 50(4):322–323
Karlica D, Skelin S, Culic V, Galetović D, Znaor L, Karlica H, Pavelić J (2011) The ophthalmic anomalies in children with Down syndrome in Split-Dalmatian County. Coll Antropol 35(4):1115–1118
Rojo-España R, Tomas-Mallebrera L, Gimeno-Clemente N, Marquina-Vila A, Morales-Suárez-Varela M (2011) Epidemiological study of periocular dermatitis in a specialised hospital department. Iran J Allergy Asthma Immunol 10(3):195–205
Ben-Zion I, Tomkins O, Moore DB, Helveston EM (2011) Surgical results in the management of advanced primary congenital glaucoma in a rural pediatric population. Ophthalmology 118(2):231–235
Tchabi S, Sounouvou I, Yehouessi L, Doutetien C, Bassabi SK (2007) Congenital glaucoma at CNHU in Cotonou: a review of 27 cases. Mali Med 22(4):14–17
Beck AD (2001) Diagnosis and management of pediatric glaucoma. Ophthalmol Clin N Am 14(3):501–512
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Moschos, M.M., Nitoda, E., Fenzel, I. et al. Prognostic factors of pediatric glaucoma: a retrospective study. Int Ophthalmol 39, 359–373 (2019). https://doi.org/10.1007/s10792-018-0819-0
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DOI: https://doi.org/10.1007/s10792-018-0819-0