Congenital Syndromes: When To Think About A Associated Glaucoma? Experience Of The Ophthalmology Department Pediatric Hospital August 20 In Casablanca
Published 2024 - 42nd Congress of the ESCRS
Reference: PO1102 | Type: Free paper | DOI: 10.82333/40qy-a782
Authors: Lamia Ajdour* 1 , hanane imad 1 , zyad laftimi 1 , ghizlane daghouj 1 , bouchra allali 1 , loubna elmaaloum 1 , asmaa elkettani 1
1pediatric ophtalmology department,20 august hospital,casablanca,Morocco
Purpose
The objective is to study the clinical particularities
and therapeutic outcomes of congenital glaucoma surgery
Setting
retrospective study
Methods
This is a retrospective study of 15 children (25 eyes) from 2012 to 2023
at the pediatric ophthalmology department of the August 20 hospital in Casablanca - Morocco.
Results
15 cases including 9 cases (13 eyes) of Sturge syndrome
weber, 2 cases (4 eyes) of Axenfield Reiger syndrome, 2 cases (4 eyes) of
Peters syndrome 1 case (2 eyes) of Lowe syndrome, 1 case (2 eyes) of
polymalformative syndrome. Average age: 8 years with a sex ratio of 1.7, consanguinity exists in 43%. The warning sign was buphthalmia in 72%.
of cases, Corneal edema in 60% of cases with an average corneal diameter of 13.2 mm, with anterior iris synechiae
in 32% of cases, and an excavation average of 7/10,
an average TO of 34 mmHg. Associated systemic abnormalities
were facial angioma (56%), epilepsy (41%) and mental retardation (30%).
management was a trabeculectomy in 96% of cases with a
medical treatment in 100% of cases
Conclusions
It is a rare, blinding pathology, with numerous clinical forms.
with complex ocular and general malformations, which can pose
etiological and therapeutic problems difficult to resolve. As soon as the
diagnosis is established, the indication for surgery is mandatory and urgent.