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Purpose: To describe the clinical spectrum and management of glaucoma in congenital aphakia. Methods: The demographics and clinical spectrum of eyes with congenital aphakia with and without glaucoma were compared, and management outcomes of congenital aphakia cases with glaucoma were studied retrospectively between April 2000 and June 2020. Results: There were a total of 168 eyes (84 subjects) with a diagnosis of congenital aphakia, of which 29 eyes of 18 subjects were diagnosed with glaucoma. Corneal opacity was the presenting complaint in 26/29 eyes with glaucoma and 139/139 eyes without glaucoma. The (interquartile range (IQR)) horizontal corneal diameter was 10.5mm (IQR, 9.0-12.5) and 8mm (IQR, 5-10) in eyes with and without glaucoma (P = 0.01), respectively. The median (IQR) axial length was 17.5mm (IQR, 13.5-19.5) and 15mm (IQR, 14-16) mm in eyes with and without glaucoma (P = 0.03), respectively. Nineteen eyes with glaucoma had adequate intraocular pressure (IOP) control with one medication. Three eyes underwent transscleral diode cyclophotocoagulation and maintained IOP without medications. Three eyes underwent trabeculectomy and trabeculotomy, trabeculectomy followed by penetrating keratoplasty, and trabeculectomy, respectively, of which two eyes became phthisical. At the last follow-up, the median (IQR) IOP was 14 mm Hg (IQR, 14-17) Hg. The median (IQR) follow-up duration was 4.53 months (IQR, 2.03- 48.06). Conclusion: One-fifth of the eyes with congenital aphakia had secondary developmental glaucoma. The corneal diameter and axial lengths were higher in the eyes with glaucoma compared to eyes without glaucoma. Medical management is the preferred short-term mode of IOP control. Transscleral cyclophotocoagulation may be preferred over surgical intervention.

Born in Scranton, Pa., [Therese Snyder] lost her vision as a child from glaucoma, a disease that afflicts many more adults than children. With the support of her loving parents, Snyder went on to graduate from Boston College with a master's in social work. Her service to help other blind and vision impaired people began when she was recruited to head the Catholic Guild for the Blind in 1968. Then Director and founder of CGB, Msgr. Robert Ford, recognized Snyder's potential not only to expand the programs and services, but to be a living role model to other blind and visually impaired people. Over the 35 years since her start, CGB has grown from a two-person organization to one that currently employs 12 people. By keeping the agency small, clients can receive specialized services that address their needs. Legally blind New York City residents of all faiths, religions, ethnic backgrounds, ages and socio-economic status can benefit from a variety of services. These include: orientation and mobility training, personal home management skills, computer keyboard instruction, training in computers and assistive technologies, English as a Second Language (ESL), academic instruction, diabetic education, placement and job readiness skills for high school students.