Congenital glaucoma is a rare but deadly eye condition that affects infants and young children. The primary cause is the abnormal development of the eye's drainage system before birth. This causes elevated intraocular pressure (IOP), which can damage the optic nerve and lead to vision loss if not treated. Early diagnosis and treatments are critical for preserving the child's vision and avoiding long-term consequences. Congenital glaucoma symptoms may include excessive weeping, light sensitivity (photophobia), an enlarged cornea, and an eye that seems hazy. Parents may also note that their youngster constantly scratches their eyes or appears uncomfortable in bright light.
A pediatric ophthalmologist does a thorough eye examination, which commonly includes tonometry (to measure IOP), gonioscopy (to check the drainage angle), and imaging (to analyze the optic nerve). Surgery typically treats congenital glaucoma by enhancing fluid outflow and lowering pressure. Common procedures include goniotomy and trabeculotomy. Sometimes, doctors may prescribe medicines to temporarily treat IOP. Many children with congenital glaucoma can have a normal life if they receive immediate medical care and regular check-ups. Raising awareness about this disorder is critical for ensuring early discovery and appropriate treatment.