Unlike adults in whom there are no symptoms initially, babies are usually diagnosed early. Because until approximately age three babies eyes are very elastic, they will enlarge when then eye pressure rises. Babies will have tearing and they will be uncomfortable. Congenital glaucoma is a surgical disease. Medication and laser are ineffective because there is an anatomic disturbance in the drain of the eye.
Surgery involves mechanically opening the drain of the eye.
Sometimes artificial drains are required. Fortunately, congenital glaucoma is rare and with prompt diagnosis surgery can be very effective. Since glaucoma and cataracts tend to occur with advancing age, there are many people who have both. One eye drop called pilocarpine makes the pupil small, allowing less light to enter the eye. This side effect, in combination with a cataract can seriously impair vision.