inflammatory+ congenital glaucoma

Question 1

What is inflammatory glaucoma?

Answer 1

Develops secondary to ocular inflammation
– Acute anterior uveitis
– Chronic anterior uveitis

Question 2

What is the pathogenesis/aetiology of inflammatory glaucoma?

Answer 2

➢ Inflammatory cells, debris and/or protein block trabecular meshwork
➢ Acute trabeculitis: inflammation and oedema of trabecular meshwork
➢ Secondary to steroid treatment

Question 3

What are the symptoms of inflammatory glaucoma?

Answer 3

Presentation and signs are consistent with anterior uveitis

Question 4

What are the signs of inflammatory glaucoma?

Answer 4

Raised IOP:
– May be transient (fluctuating)
– Commonly develops as acute inflammation subsides and ciliary body function returns

Question 5

When might this cause secondary closed angle glaucoma?

Answer 5

• Iris bombe and PAS development in acute anterior uveitis
• Contraction of inflammatory cell membrane at AC angle

Question 6

What is the management/ referral of inflammatory glaucoma?

Answer 6

Acute anterior uveitis: EMERGENCY (same day referral)
– Inactive uveitis with evidence of glaucomatous optic neuropathy: Routine referral

Question 7

What is congenital glaucoma?

Answer 7

Maldevelopment of AC angle
Infantile Glaucoma
Develops prior to 3rd birthday

Question 8

What are the features of infantile glaucoma?

Answer 8

– High IOP
– Buphthalmos
– Increased corneal diameter
– Corneal oedema
– Poor vision