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Abstract #6128 Published in IGR 2-2
Primary open-angle glaucoma in an eight-year-old child
Imazeki A; Fujimoto N; Kawabata HJapanese Journal of Clinical Ophthalmology 2000; 54: 919-922
An eight-year-old boy sought medical advice for myopia. Enlarged cupping of the disc was detected in his left eye. He had been suffering from asthma and atopic dermatitis. Corticosteroid ointment had been applied to the body surface except the facial area. His intraocular pressure (IOP) was 18 mmHg right and 19 mmHg left. The left eye showed visual field defect in the nasal temporal quadrant. The IOP in the left eye rose to 22 mmHg four months later, and eventually to 30 mmHg despite topical antiglaucomatous medication. He was referred to the authors and received intensive topical treat for glaucoma. Progression of left visual field defect necessitated mitomycin C-assisted trabeculectomy two months later. The IOP in the left eye has been controlled below 20 mmHg with no changes in the visual field during the ensuing seven months. Gene analysis in the patient and his father gave negative findings regarding myocilin gene mutation. This case illustrates that primary open-angle glaucoma may manifest at the age of eight years. LA: Japanese
Dr. A. Imazeki, Department of Ophthalmology, Chiba University School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba-shi 260-8670, Japan
Classification:
9.4.1 Steroid-induced glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
