Case report on delayed presentation of primary congenital glaucoma

An asymptomatic 5 year old child presented to OPD with corneal haze, megalocornea and raised intraocular pressure. On fundus examination there was bilateral advanced optic disc damage. Surgical interventions done included Trabeculotomy and Trabeculectomy in the left eye and Trabeculectomy alone was done in the right eye. As in this case asymptomatic nature of the disease led to it’s late presentation which itself is a cause for advanced disc damage. Therefore awareness towards the subclinical subtle signs of congenital glaucoma makes it a point of concern for pediatricians to do proper screening and referral.