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Revista Cubana de Pediatría

Print version ISSN 0034-7531On-line version ISSN 1561-3119

Abstract

ROCHE CASO, Silvia et al. Characterization of juvenile glaucoma. Rev Cubana Pediatr [online]. 2011, vol.83, n.1, pp.34-43. ISSN 0034-7531.

INTRODUCTION. The glaucoma is infrequent in children but when it is present symptoms are not easily noticeable and produce severe consequences for visual health. The aim of present study was to characterize, from the clinical and epidemiologic point of view, the patients presenting with juvenile glaucoma seen in Ophthalmology services of the "Cerro" and "Pedro Borrás" Children Hospitals in Ciudad de La Habana from January, 2008 to December, 2009. METHODS. A prospective, longitudinal and epidemiologic study was conducted in 176 patients aged between 5 and 18 with a supposed glaucoma. Sample, after applied the inclusion and exclusion criteria, included 38 cases. Variables analyzed were: age at diagnosis, sex, skin color, family backgrounds according the relationship grade, corrected maximal visual acuity, type of refractive defect, characteristics of cell angle, central corneal thickness, the value of intraocular pressure, fundoscopy and campimetry alterations. RESULTS. In most of patients the diagnosis of juvenile glaucoma was a finding. The mean age at diagnosis was of 12,5 years, with slight predominance of males and of white skin color. The history of glaucoma in second grade blood relation relatives was more frequent. Most of cases had an optimal vision, some degree of myopia and open angle without obvious of cell angle where the more frequent was the presence of prominent iridic processes. CONCLUSIONS. There was predominance of a moderate decrease of corneal thickness and mean values of intraocular pressure of 26,91 mm Hg. The more frequent fundoscopy alteration found was the moderate papillary excavation (between 0,4 and 0,5) and as campimetry lesion, it was the increase in the black spot.

Keywords : Characterization; juvenile glaucoma; ophthalmology; pediatrics.

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