Essam M. Alharthi, MD (Riyadh, Saudi Arabia)

PURPOSE:

Primary congenital glaucoma is structurally abnormal eye with multiple complications including retinal detachment which lead to poor prognosis.

METHODS:

Retrospective, case series.Medical records of 34 congenital glaucoma who developed retinal detachment where reviewed. Detailed information of the congenital glaucoma was obtained including date of diagnosis, intraocular pressure, glaucoma surgery, and complication. Retina detachment information include date of diagnosis, visual acuity, type of retina detachment, intraocular  pressure, type of retinal breaks, type of retinal surgery, duration of follow-up, and retinal status after surgery.

RESULTS:

24 eyes only were operated for retinal detachment because of very poor prognosis in the remaining 10 eyes. Bilaterality of retinal detachment was seen 40%. Earlier occurrence of RD was noticed in our patients compared to other published data. Retinal reattachment was obtained in 58.3% of the eyes with better success in the Scleral buckle group compared to the vitrectomy group and with the use of silicon oil compared to the use of gas group but was not statistically significant. There was no improvement in final visual acuity result in addition to about 20% risk of losing vision to no light perception (NLP) level.

CONCLUSION:

Retinal detachment in primary congenital glaucoma is a poor prognostic sign even after RD repair.