Congenital Glaucoma

What is congenital glaucoma?

Congenital glaucoma is a rare condition present at birth or early infancy in which the drainage system of the eye does not develop properly. This leads to increased eye pressure (intraocular pressure), which can damage the optic nerve and affect vision if not treated promptly.

Congenital glaucoma occurs due to abnormal development of the eye’s drainage system (trabecular meshwork). It may occur on its own or, less commonly, be associated with genetic factors or other developmental conditions.

Common signs and symptoms include:

  • Excessive tearing (watering)
  • Sensitivity to light (photophobia)
  • Frequent blinking or eye squeezing (blepharospasm)
  • Enlarged or cloudy cornea
  • Enlargement of the eye (buphthalmos) in advanced cases

Treatment is primarily surgical and aims to reduce eye pressure:

  • Angle surgeries (goniotomy or trabeculotomy) – commonly performed in early cases
  • Trabeculectomy or glaucoma drainage devices – in more advanced or resistant cases
  • Medications may be used temporarily but are not a definitive treatment

Early diagnosis and timely surgery are critical for preserving vision.

After surgery, regular follow-up is essential. Care typically includes:

  • Use of prescribed eye drops
  • Monitoring of eye pressure and healing
  • Protection of the eye from injury
  • Long-term follow-up to ensure proper visual development
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