Challenges of Surgical Management of Glaucoma in Aniridia: A Case Series
Abstract
Congenital Aniridia is a rare condition which is mainly associated with PAX6 gene mutations, though other genes such as FOXC1, PITX2 and CYP1B1 have also been implicated. 1 Glaucoma associated with Aniridia has been reported to be between 6% and 75% of patients 2 and though it usually occurs later in life, it can also be present at birth. Treatment of glaucoma is difficult and challenging 3due to the angle anomalies and the progressive angle changes that take place. Surgical intervention is the most commonly utilized mode of management to achieve good intraocular pressure (IOP) control.1
References
Samant M, Chauhan BK, Lathrop KL, Nischal KK. Congenital aniridia: Etiology, manifestations and management. Expert Rev. Ophthalmol. 2016; 11: 135–144.
Nelson LB, Spaeth GL, Nowinski TS, Margo CE, Jackson L. Aniridia. A review. SurvOphthalmol 1984; 28: 621–642.
Calvão-Pires P, Santos-Silva R, Falcão-Reis F, Rocha-Sousa A. Congenital Aniridia: Clinic, Genetics, Therapeutics, and Prognosis. Int Sch
Res Not 2014; 2014: 1–10.
Wiggins RE, Tomey KF. The Results of Glaucoma Surgery in Aniridia. Arch Ophthalmol 1992; 110: 503–505.
Lee H, Khan R, O’keefe M. Aniridia: Current pathology and management. Acta Ophthalmol. 2008; 86: 708–715.
Grant WM, Walton DS. Progressive changes in the angle in congenital aniridia, with development of glaucoma. Am J Ophthalmol
; 78: 842–847.