Department of Ophthalmology, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Ethiop J Health Sci. 2022 Mar;32(2):463-466. doi: 10.4314/ejhs.v32i2.27.
Primary congenital glaucoma is potentially blinding condition characterized by elevated intraocular pressure and optic disc cupping. It is typically bilateral and usually manifest in the first year of life. Spontaneously arrested primary congenital glaucoma can occur, but it is very rare.
A 32-year-old male patient from North Shewa presented to the department of ophthalmology, Menelik II Hospital with deterioration of vision. On examination he had large corneas with horizontal diameter of 14 mm, increased axial length, faint corneal stromal opacity and Haab's striae of both eyes. Anterior chamber angles were wide open. His intraocular pressure, optic nerve head appearance and visual field in both eyes were normal. He had subluxated dense cataract of the right eye.
Late presentation with sequelae of primary congenital glaucoma without optic neuropathy is possible. Regular follow-up of spontaneously arrested congenital glaucoma and scleral fixation of intraocular lens is recommended.
先天性青光眼是一种潜在致盲性疾病，其特征为眼内压升高和视盘凹陷。该病通常为双侧性，通常在生命的第一年表现出来。但也可能会出现自发停止进展的先天性青光眼，不过这种情况非常罕见。
一名来自北谢瓦的 32 岁男性患者因视力下降到 Menelik II 医院的眼科就诊。检查发现他的双眼角膜直径较大，水平直径为 14mm，眼轴长度增加，角膜基质混浊不明显，双眼有 Haab 条纹。前房角开阔。他的双眼眼压、视神经头外观和视野均正常。右眼有脱位的致密性白内障。
先天性青光眼可能会出现没有视神经病变的晚期表现。建议对自发停止进展的先天性青光眼和眼内晶状体巩膜固定进行定期随访。
