Before looking through a slit lamp, it is important to observe the child. Buphthalmos (see Fig 11-2A) and other signs and symptoms of PCG, including epiphora and blepharospasm, can be seen by observing a child from a distance. Systemic features that may be associated with primary and secondary glaucomas other than PCG should also be looked for, including those associated with chromosomal abnormalities, phakomatoses, connective tissue disorders, and A-R syndrome.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.