Tuesday, 25 July 2023

Clinical-therapeutic Guidelines in Pediatric Glaucoma | Chapter 1 | Current Progress in Medicine and Medical Research Vol. 4

 Glaucoma in kids represents a heterogeneous group of eye ailments that are accompanied by an increase in intraocular pressure in new-borns, teenagers, adolescents, with the resultant loss of fantasy. Glaucoma in children has multiple dispassionate forms: early primary congenital glaucoma (buphthalmia) and late (juvenile glaucoma), glaucoma on account of associated trabeculodysgenesis, glaucoma associated with visual malformations, with systemic ailments or syndromes and secondary glaucoma in many eye diseases on account of increased post-inflammatory IOP (uveitis), postoperatively in inborn cataracts, tumours, trauma, local, comprehensive corticotherapy.Early congenital glaucoma – Buphthalmia and late present at birth, created by an isolated trabecular dysgenesis requires next diagnosis and surgical treatment, alternatively blindness occurs accompanying functional and sometimes physical loss of analysis. The surgical treatment is differentiated in accordance with the evolutionary stage of glaucoma by performing goniotomy (see-through cornea), trabeculotomy (cloudy cornea), (repeated if unavoidable), trabeculectomy, trabeculotomy/trabeculectomy, artificial drainage structures if there is NO satisfactory post-active tensional response. For cases with unfavourable development, cyclodestructive procedures accompanying palliative results could be secondhand.The formation process of the anterior room elements next to the affecting animate nerve organs crest explains the anticipation of developing glaucoma associated with added eye anomalies (microphthalmia), syndromes (Sturge Weber, Bourneville, Lowe) or systemic afflictions.Glaucoma can be subordinate to multiple eye diseases: anguish, tumours, corticotherapy, post-inflammatorily.The indication for treatment is created after the clinical disease of secondary glaucoma and is the treatment of the basic condition, and according to the type of glaucoma, stage of evolution, healing and/or surgical antiglaucoma treatment is designated.Glaucomatous pathology in children involves multiple clinical forms, accompanying sometimes complicated dispassionate evolution. Correct positive and characteristic diagnosis, appropriate treatment, listening of the disease, collaboration accompanying the family are inevitable.

Author(s) Details:


Marieta Dumitrache,

UMF “Carol Davila”, Bucharest, Romania.

Miruna Cioboata,

UMF “Carol Davila”, Bucharest, Romania.

Alina Ciocalteu,

UMF “Carol Davila”, Bucharest, Romania.

Rodica Lascu,

UMF “Carol Davila”, Bucharest, Romania.

M. Manea,

UMF “Carol Davila”, Bucharest, Romania.

Please see the link here: https://stm.bookpi.org/CPMMR-V4/article/view/11316

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