Stingl Julia V, Lagrèze Wolf A, Hoffmann Esther M
Augenklinik und Poliklinik, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.
Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Ophthalmologie. 2023 Mar;120(3):335-344. doi: 10.1007/s00347-023-01828-2. Epub 2023 Feb 23.
Glaucoma in infancy and childhood is a rare disease. An immediate diagnosis and treatment are absolutely necessary to prevent blindness of affected children. Childhood glaucoma is characterized by a heterogeneous phenotype: besides primary congenital glaucoma, secondary types often exist and the individualized treatment requires an experienced interdisciplinary team. The pathogenesis is not always discernible and genetic alterations sometimes cause the disease. A surgical procedure is usually necessary to lower the intraocular pressure. Refractive and orthoptic care are equally important to avoid amblyopia. This article gives an overview of childhood glaucoma and outlines the most important diagnostic and therapeutic aspects.
婴幼儿青光眼是一种罕见疾病。为防止患病儿童失明,必须立即进行诊断和治疗。儿童青光眼具有异质性表型:除原发性先天性青光眼外,继发性类型也常存在,个体化治疗需要经验丰富的跨学科团队。发病机制并不总是清晰可辨,基因改变有时会引发该病。通常需要进行外科手术来降低眼压。屈光和视光治疗对于避免弱视同样重要。本文概述了儿童青光眼,并概述了最重要的诊断和治疗方面。