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Is there a
link between infantile cataract and glaucoma?
Yes, there are several links between these
two conditions. All children who undergo cataract surgery, especially in
infancy, are at life long risk for developing glaucoma after surgery. Although
this risk is not very high, the serious visual effects of glaucoma can be
detected even at the earliest stage. This is why regular follow-up with the
pediatric ophthalmologist is important, even after the surgery. Some eyes with
congenital cataract are also at risk for glaucoma even if no surgery is done
yet. This only means that there are other problems in the eye other than just
the cataract. Some eye conditions that are associated with glaucoma would
include eye and body syndromes such as aniridia (absent iris), anterior segment
dysgenesis, congenital rubella syndrome, and persistent hyperplastic primary
vitreous (PHPV). These eye conditions sometimes present initially with cataract
and glaucoma.
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Does congenital cataract present with glaucoma?
The
following conditions present with infantile cataract and glaucoma:
Aniridia literally means absence of an
iris. However, this is somewhat a misnomer because there is always some
amount of iris tissue present. This condition commonly presents with other
ocular problems that involve the other parts of the eye such as cataract, lens
subluxation, glaucoma, optic nerve hypoplasia, and foveal hypoplasia. The
latter two results in poor vision.
Anterior segment dysgenesis is a spectrum
of eye disorders that involves the anterior part of the eye. These diseases
present abnormal development of the cornea, iris and lens during
embryogenesis. The structural abnormalities that result from the dysgenesis
produce corneal opacity, glaucoma, and cataract.
PHPV represents an abnormal regression of
the primitive hyaloid vascular system in the eye. This produces a
fibrovascular stalk that connects the optic disc and the posterior part of the
lens (posterior cataract). A retrolental membrane forms at the posterior part
of the lens and it may extend to the ciliary processes. Over time, the
membrane can contract, pulling the ciliary processes centrally. If left
untreated, severe forms of PHPV can lead to shallowing of the anterior chamber
and angle closure glaucoma.
Systemic findings of congenital rubella
syndrome include congenital heart defects, hearing loss, and mental
retardation. Ocular findings include pigmentary retinopathy (25%), cataract
(15%), strabismus (20%), microphthalmos (15%), optic atrophy (10%), corneal
haze (10%), glaucoma (10%), and phthisis bulbi (2%). The retinopathy is
stable and usually does not affect vision. Rubella cataracts are caused by
invasion of the lens by the rubella virus, and are bilateral in 80% of all
cases. These cataracts may present with a hazy cornea caused by either
congenital glaucoma or keratitis. Treatment of the cataract involves removing
the entire lens cortex, since the patient’s tendency to postoperative
inflammation is increased if residual cortex is left after the surgery.
This is an x-linked disorder that presents
with bilateral congenital cataracts and often with bilateral congenital
glaucoma. Infants show severe developmental delay, hypotonia, and renal
failure with aminoaciduria. The visual prognosis is poor since there is
progression of neurological and renal deterioration. Death occurs in late
childhood. A dilated slit lamp examination of the patient’s mother shows
multiple punctate white snowflake opacities of the lens periphery.
There are several ways of reaching the ophthalmologists of EYE REPUBLIC Ophthalmology Clinic:
Hover note: Please place your mouse cursor over the red box
to click on the web and email links. For websites, a new browser
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ONLINE ACCESS
WEBSITES.
http://www.EyeRepublic.com.ph - EYE REPUBLIC
Ophthalmology Clinic
http://www.OCP.com.ph - Ophthalmic
Consultants Philippines Co. -
http://www.LASIK.com.ph - Refractive
Surgery Resource
http://www.Cataract.com.ph - Cataract Surgery Resource
http://www.Eye.com.ph - Eye
Information Online
http://www.EyeDoc4Kids.com.ph - Eye Information for Kids
http://www.Retina.com.ph - Retina
Surgery Resource
http://www.Glaucoma.com.ph - Glaucoma
Online
http://www.Uveitis.com.ph - Uveitis Online
EMAIL. After writing down your comments,
suggestions, problems and/or questions, kindly tell us how
to get in touch with you by providing your name, email,
home/office numbers, and mobile phone.
General inquiries - help@EyeRepublic.com.ph
Refractive Surgery Service - refractive.surgery@EyeRepublic.com.ph
Glaucoma Service - glaucoma@EyeRepublic.com.ph
Cataract Service - cataract@EyeRepublic.com.ph
Doctors - eyemd@EyeRepublic.com.ph
Administrative - president@EyeRepublic.com.ph
Website - webmaster@EyeRepublic.com.ph
Newsletter -
newsletter@EyeRepublic.com.ph (receive
news and updates, discounts and promotions)
BLOG. Send us your comments.
EYE REPUBLIC
Ophthalmology Atlas
CLINIC INFORMATION
Mobile E-Yellow Pages. Via
SMS, text LUK4 EYEREPUBLIC
(send to 2851 for Globe and Sun Cellular, and 2951 for Smart). |
EYE REPUBLIC Ophthalmology Clinic
Manila
3/F Don Santiago Building Units 309-310
1344 Taft Avenue, Ermita
Manila, 1000 Philippines
Direct and Fax: (632) 536-2398
Trunk Line: (632) 523-8271 to 79 local 30
Mobile: (63917) 899-2020
Map and directions
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EYE REPUBLIC
Ophthalmology Clinic
Asian Hospital
and Medical Center
5/F Medical Office
Building (MOB) Suite 509
2205 Civic Drive,
Filinvest, Alabang
Muntinlupa City,
1781 Philippines
Direct:
(632) 771-9253
Direct and Fax:
(632) 771-9254
Mobile: (63917) 795-2020
Map and Directions
|
EYE REPUBLIC Ophthalmology Clinic
Medical City
6/F Medical Arts Tower Inc (MATI) Suite 602
MERALCO Compound, Ortigas Avenue
Pasig City, 1604, Philippines
Direct and Fax: (632) 632-7846
Mobile: (63917) 537-2020
Map and directions
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EYE REPUBLIC
Ophthalmology Clinic
St. Luke's
Medical Center
6/F
Cathedral Heights Building Complex (CHBC)
North Tower Suite 614
279 E. Rodriguez
Sr. Boulevard
Quezon City, 1102
Philippines
Direct and Fax:
(632) 407-3883
Mobile: (63917) 855-2020
Map and directions
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CLINIC HOURS
First-Come, First-Served
Monday to Saturday 9:00 AM to 6:00 PM
All clinics are closed on Sundays and Holidays
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CONGENITAL CATARACT WITH GLAUCOMA information
compiled by Dr.
Barbara L. Roque and initially uploaded on June 1, 2005.
Last updated on
September 20, 2007. |
