Congenital Glaucoma

  • Malformed trabecular meshwork at birth causes elevated intraocular pressure, enlarged eye, cloudy cornea, tearing
  • Surgery to repair meshwork¬†or bypass it and lower intraocular pressure must be prompt to prevent permanent vision loss.
  • Fussy baby, cloudy cornea, tearing, enlarged eye ("buphthalmos", or ox eye)
  • May be monocular or binocular
  • Elevated intraocular pressure can be measured
  • Usually not associated with other congenital anomalies
  • Congenital corneal dysplasias or systemic metabolic disorders causing cloudy corneas, but...
  • They usually do not have elevated intraocular pressure, large eye, or tearing
  • Refer urgently any baby with cloudy cornea