Primary infantile glaucoma.


Infantile glaucoma is a rare disorder that shares the basic glaucoma pathophysiology of other forms of glaucoma: an abnormally elevated intraocular pressure (IOP), which produces optic nerve ocular damage and consequent visual loss. The population of patients that this disease affects is one obvious distinction which differentiates this form of glaucoma from other types of glaucoma that occurs in adults. Infantile glaucoma results from structural maldevelopment of the anterior segment and angle structures that often lead to different presentations and dictate treatment regimens that may differ from those typically used in adults. The treatment of glaucoma in this population is further complicated by the visual immaturity of the pediatric patient. Amblyopia often occurs in these children and may lead to a more severe loss of vision than that caused by the elevation in IOP alone.


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