Question

My daughter is two years old and was diagnosed with congenital glaucoma at three months old. Her right eye is more affected than her left eye. The intraocular pressure in her right eye is 35 and in her left eye is 21. The doctor prescribed eye drops to lower the intraocular pressure, which she has been using for three months, but the pressure in her right eye has not dropped. In January 2012, she underwent a trabeculectomy, and the intraocular pressure did decrease, but it soon rose again and has fluctuated ever since.

Answer

Congenital glaucoma is a type of glaucoma that can severely damage vision. Early surgery is recommended to control intraocular pressure and preserve vision. Fluctuating intraocular pressure, which is sometimes high and sometimes low, indicates poor control. Studies show that this unstable pressure may cause more severe damage to visual function. If it is confirmed that the previous surgery cannot control the intraocular pressure, a second surgery can be performed. It is advisable to determine the control of intraocular pressure as soon as possible to clearly determine whether a second surgery is necessary.