Morpho-Functional Characteristics of Primary Congenital Glaucoma in Latvia

Activity: Talk or presentation types › Poster presentation

Description

The aim of the study was to evaluate morpho-functional characteristics of all patients diagnosed and treated for primary congenital glaucoma (PCG) in the tertiary medical centre from year 2003 till year 2020.. The retrospective study was conducted to collect data about symptoms, intraocular pressure (IOP), corneal diameter, axial length (AL) at the time of diagnosis and evaluate long-term outcomes related to the function and structure of optic nerve.. 35 eyes of 27 patients were included in the study. The mean age at the time of diagnosis was 9.5 ± 9.1 months. The mean IOP before the surgery was 26.1 ± 5.6 mmHg. The mean corneal diameter was 13.2 ± 1.0 mm and AL 22.9 ± 1.9 mm. The leading sign reported by caregivers was enlargement of the eyeball (82.9%). The last follow up was after 106.3 ± 66.0 months. The mean IOP was 15.6 ± 6.4 mmHg. 77.1 % of patients were off any glaucoma medications. The reported visual acuity was 0.5 ± 0.3. Amblyopia was diagnosed in 80% of the eyes. The mean deviation of the visual field was -2.7 dB. The mean value of pachymetry was 503.6 ± 45.3 mm. The observed excavation of optic nerve head (ONH) was 0.4 ± 0.3. Optical coherence tomography (OCT) reflected the general circumpapillary retinal nerve fibre layer (cpRNFL) within normal limits for 34.3% and minimum rim width (MRW) for 74.2% of eyes. . The leading sign of PCG in our population was the enlargement of eyeball. At the last follow-up significant reduction of IOP was received to control glaucoma. Amblyopia was one of the main problems affecting long-term visual outcomes. Regular follow-ups are mandatory and new technologies like OCT in paediatric population could help to control these patients even better.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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