Evaluation of primary congenital glaucoma at Assiut University Hospital

Purpose This study aims to evaluate cases of primary congenital glaucoma at Assiut University Hospital. Patients and methods A total of 32 eyes of 19 infants with primary congenital glaucoma were enrolled in this study. All eyes underwent combined trabeculotomy-trabeculectomy with mitomycin C under general anesthesia. Follow-up of the surgical outcome was achieved for each patient by measuring the postoperative ocular tension monthly for 3 months and then every 3 months till the end of a year. Results A total of 20 (62.5%) eyes showed successful intraocular pressure (IOP) lowering after the surgery, with mean IOP of 15.3 mmHg, with range between 11 and 19 mmHg measured under general anesthesia using halothane. A total of nine (28.1%) eyes required postoperative antiglaucoma medications to normalize the IOP and three (9.3%) eyes required glaucoma drainage device surgery to normalize the IOP. Conclusion Eyes that required antiglaucoma medications or eyes that underwent glaucoma drainage device surgery had common features between them as positive consanguinity between parents, early age of presentation, high initial IOP at time of presentation, and corneal haziness.