2Prof. Dr., Sağlık Bilimleri Üniversitesi Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Ana Bilim Dalı, İstanbul, Türkiye Purpose: To evaluate long-term follow-up results in our patients followed and treated for primary congenital glaucoma (PCG).
Materials and Methods: Records of 56 eyes of 31 patients followed by PCG diagnosis were retrospectively reviewed.
Results: Eighteen of patients were male and 13 were female and the age of presentation was 57,19±73,27 (0-324) months. Mean follow- up duration of patients was 56.97±49.79 (12-216) months, and initial surgery time was 25.78±40.8 (1-156) months. Preoperative visual acuity (VA) of cases was 0.33±0.38, intraocular pressure (IOP) was 27.69±12.47 mmHg, horizontal corneal diameter (HCD) was 13.57±1.89 mm, central corneal thickness (CCT) was 640.3±136.73 ?m, axial length (AL) was 24.68±2.73. At fi nal examination, VA was 0,24±0,34, IOP was 17,17±9,71 mmHg, HCD was 4,36±1,44 mm, CCT was 577±95,73 ?m, AL was 23,89±2.62 mm. Strabismus in one eye, strabismus and nystagmus in 1 eye, nystagmus in 5 eyes, cataract in 1 eye, and phthisis bulbi in 3 eyes were observed. The final visual acuity was 20/200 and above in 12 eyes (41.38%), below 20/200 in 17 eyes (58.62%).
Conclusion: PCG is a congenital disease requiring long-term follow-up, which may be required for medical treatments besides surgical treatments and may cause visual loss despite all treatments. Early diagnosis of disease, surgical and medical treatments and regular follow-ups are fairly considerable. Control of IOP is not enough for visual prognosis, correction of refractive errors and treatment of amblyopia are also important.
Keywords : Visual acuity, intraocular pressure, primary congenital glaucoma