What is Buphthalmos and How can it be Treated This essentially means a large eye as a result of stretching due to elevated IOP prior to the age of 3 years. Primary congenital glaucoma:- Is rare with an incidence of 1:10,000. Boys are more commonly affected. Involvement is usually bilateral but may be unilateral as well. It is classified as:- True congenital glaucoma. Infantile glaucoma (manifests before 3 years) Juvenile glaucoma ( between 3-16 years of age) The child usually presents with watering photophobia and blepharospasm noticed by parents. The child is evaluated under short G.A. to check parameters like IOP, Anterior chamber evaluation, gonioscopy, optic disc evaluation, corneal diameter, Fundoscopy, and Retinoscopy. Treatment:- Management is essentially surgical Goniotomy Trabeculotomy Trabeculectomy Tube shunt implantation Ciliary body ablative procedures Long-term IOP monitoring with visual rehabilitation is a must to prevent Amblyopia.