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TitleInfantile glaucoma: disparity in origin of the illness. Analysis of the patients cohort conducted at Queen Fabiola Children's University Hospital in Brussels
Abstract Nr.3017
PurposeTo analyze the differences between cases of infantile glaucoma surveyed at a children's hospital and to propose a simplified classification.
MethodsA retrospective study of proven glaucoma is conducted and glaucoma suspect cases are examined from Queen Fabiola Children's University Hospital in Brussels (HUDERF). The sex ratio, the consanguinity, the refraction, the age at diagnosis, the possibility of other ocular nature and other general problems are taken into account.
ResultsThe cohort includes 64 patients, 22 girls and 42 boys. The analysis is made with the following simplified classification:
a) Non-syndromic glaucoma: signs of progressive glaucoma alone, no other ophthalmic or general known anomaly
b) Syndromic glaucoma: signs of progressive glaucoma associated with another ophthalmic and/or an other disease
c) Glaucoma suspect: presence of at least one isolated sign of glaucoma, without certitude of evolution
d) At risk of glaucoma: no sign of glaucoma but presence of risk factors
Of the 64 patients, 11 cases are found in category A, 21 cases in B, 10 cases in C and 22 cases in category D.
Conclusion50% of the patients clearly present clinical glaucoma symptoms and the other half of the cohort are observed cases. This emphasizes the importance of the time factor in the clinical evolution of the diagnostic establishment in many cases involving children, like in adults.
The clinical characteristics of each category are analyzed and discussed with the objective of defining a clear schedule of observation and treatment for all infantile glaucoma cases, which remains an important and challenging entity.
Conflict of interestNo
Authors 1
Last nameEFENDIC
InitialsA
DepartmentBrugmann Hospital
CityBrussels
Authors 2
Last namePOSTOLACHE
InitialsL
DepartmentQueen Fabiola Children’s University Hospital
CityBrussels
Authors 3
Last nameBREMER
InitialsF
DepartmentQueen Fabiola Children’s University Hospital
CityBrussels
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