1 Serviço de Oftalmologia, Centro Hospitalar de Lisboa Central;
2 Centro Hospitalar do Baixo Vouga; Centro Hospitalar de Lisboa Central;
3 Hospital Divino Espírito Santo de Ponta Delgada; Centro Hospitalar de Lisboa Central;
4 Oftalmologia Pediátrica, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central.
- European Paediatric Ophthalmological Society (EPOS) Annual Meeting, Leiden, Outubro de 2013 poster
Introduction: Congenital glaucoma is a rare condition often associated with significant visual loss. The purpose of this study is to evaluate the visual acuity outcome in paediatric glaucoma.
Methods: Retrospective review of patients older than 3 years with congenital glaucoma surveilled in our institution. Clinical presentation, medical and surgical therapy, visual outcomes and refractive errors were recorded.
Results: A total of 27 eyes from 16 patients with a mean follow up of 100 (46-156) months were included in our study. A visual acuity ≥ 20/40 was achieved in 10 patients. Presentation at birth, bilateral disease, delay of surgical treatment and multiple procedures were associated with poor vision (≤20/200). Myopia was found in 70% of patients, with high myopia being frequent.
Conclusions: While congenital glaucoma may result in poor vision, a good visual outcome was achieved in most of our patients. There is a clear tendency to a myopic shift in eyes affected by this disease.