Progress of Condition

This particular child wore a contact lens for 3-4 months, but it was deemed unsuccessful. He lived faraway from the clinic and couldn't make regular follow-ups, so he was given spectacles instead.

EUA(exam under anesthesia) at 1.5 years

  • Corneal Diameter: OD 12.25mm, OS 9.75mm
  • IOP: OD 29mmHg, OS 20mmHg
  • C/D: OD 100%, OS 50%
  • Refractive error +24.00
  • Goniotomy
  • Medical therapy

After about a year and a half, it was noticed that one of his eyes appeared larger than the other. The corneal diameter, a measurement of the iris, was larger in the right eye than the left eye. In addition to corneal measurements, eye pressure was measured and the health of the optic nerve was assessed.

An example of enlarged corneal diameter:
an example of enlarged corneas

Sometimes the corneas get cloudy, which means the edge of the cornea isn't crisp and clear.

Both the conditions of cloudy and enlarged corneas are caused by the high intraocular pressures involved in glaucoma.

Doctors look for a condition of the optic nerve called "cupping". Glaucoma causes the loss of the nerve and glial tissue in the center of the nerve. In the picture below there is an example of cupping on the right hand side. There is a large white area of the optic nerve with a thing pink ring of healthy tissue. On the left hand side is a healthy optic nerve with a small white depression in the middle surrounded by pink tissue. Glaucoma is a common complication of cataracts that occur in infancy. His glaucoma was treated with a goniotomy.

An example of "cupping":
an example of cupping

EUA at 2.5 years

  • Corneal Diameter: OD 12.25mm, OS 10.0mm
  • IOP: OD 32mmHg, OS 32mmHg
  • C/D: OD 100%, OS 60%
  • Refractive Error +20.00

At his examination a year later, his pressures and corneal diameters were still high despite the fact that he got surgery to correct it.