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International Ophthalmology

, Volume 39, Issue 2, pp 359–373 | Cite as

Prognostic factors of pediatric glaucoma: a retrospective study

  • Marilita M. MoschosEmail author
  • Eirini Nitoda
  • Isabelle Fenzel
  • Xuefei Song
  • Achim Langenbucher
  • Barbara Kaesmann
  • Berthold Seitz
  • Zisis Gatzioufas
Original Paper

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.

Keywords

Aniridia Primary congenital glaucoma Congenital cataract Peters/Rieger’s syndrome Pediatric glaucoma Risk factors 

Notes

Compliance with ethical standards

Conflict of interest

All authors have no conflict of interest to declare, and no financial support was offered for the present study.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Marilita M. Moschos
    • 1
    Email author
  • Eirini Nitoda
    • 1
  • Isabelle Fenzel
    • 2
  • Xuefei Song
    • 2
    • 3
  • Achim Langenbucher
    • 4
  • Barbara Kaesmann
    • 2
  • Berthold Seitz
    • 2
  • Zisis Gatzioufas
    • 2
    • 5
  1. 1.First Department of Ophthalmology, General Hospital of Athens G. Gennimatas, Medical SchoolNational and Kapodistrian University of AthensAthensGreece
  2. 2.Department of OphthalmologySaarland University Medical CenterHomburg/SaarGermany
  3. 3.Department of OphthalmologyShanghai Ninth People’s HospitalShanghaiChina
  4. 4.Institute of Experimental OphthalmologySaarland University Medical CenterHomburg/SaarGermany
  5. 5.Moorfields Eye HospitalLondonUK

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