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People also ask
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How do you treat primary congenital glaucoma?
Medications that decrease aqueous humor production include alpha-adrenergic agonists like brimonidine, apraclonidine, or beta-blockers like timolol, betaxolol, and levobetaxolol, or carbonic anhydrase inhibitors like brinzolamide. Surgery is the mainstay of treatment of patients with primary congenital glaucoma.
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What is the surgery of choice for glaucoma?
The most common type of surgery for glaucoma is called trabeculectomy. It involves removing part of the eye-drainage tubes to allow fluid to drain more easily. Glaucoma surgery may be carried out under local anaesthetic (while you're awake) or general anaesthetic (while you're asleep).
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What is the best surgery for glaucoma?
Selective Laser Trabeculoplasty (SLT) This is when your physician directs low-level laser beams only at the points in your eye with the most pressure. It is the next option when ALT does not ease the pressure. Most doctors prefer this as the first option for laser glaucoma treatment.
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How do you treat primary congenital glaucoma?
Medications that decrease aqueous humor production include alpha-adrenergic agonists like brimonidine, apraclonidine, or beta-blockers like timolol, betaxolol, and levobetaxolol, or carbonic anhydrase inhibitors like brinzolamide. Surgery is the mainstay of treatment of patients with primary congenital glaucoma.
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What is the most appropriate initial surgical treatment for primary congenital glaucoma?
There are four major surgical options for PCG; however once the diagnosis of PCG is established, angle surgery is the first procedure of choice to incise/open the trabecular meshwork with the hope of allowing aqueous flow from the anterior chamber directly into Schlemm canal.
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What is the surgical treatment of primary angle closure glaucoma?
Three surgeries involving trabeculectomy, phacotrabeculectomy plus intraocular lens implantation(phacotrab+IOL group) and phacoemulsification with IOL(phaco+IOL) are common used in treating PACG.
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What is the prognosis for primary congenital glaucoma?
Doctors usually spot it between the ages of 3-6 months, but there may not be signs at first. It can be diagnosed as late as age 3. If the disease is found early, 80% to 90% of children respond well to treatment. They won't have vision problems in the future.
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How long is life expectancy with congenital glaucoma?
Of the 776 patients diagnosed with primary congenital glaucoma in the study population, 27 died (Table 4). The mean period from diagnosis of primary congenital glaucoma to death was 21.59 ± 29.31 months. In total, 70.4% (n = 19) of these patients died within 3 years of birth, while 29.6% (n = 8) died thereafter.
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