Glaucoma in Children: Are We Making Progress?

Visual acuity outcomes in pediatric glaucomas

“…[6][7][8][9] The slightly greater incidence of excellent vision in this study suggests that progress that has been made during the last several years in the medical and surgical management of pediatric glaucoma, as others have suggested. 3,10 We decided to group the various glaucoma subtypes in a slightly different schematic than that reported by Yeung and Walton 4 to better reflect the specific subtypes most commonly seen at our institution. Patients with primary congenital glaucoma were all grouped together for the purposes of this study despite the potential variability in genotype because genetic testing was not routinely available.…”

“…The etiology of patients' vision impairment is often multifactorial, including amblyopia, optic nerve damage, and other ocular comorbidities. [1][2][3] Recent classification schemes of childhood glaucomas have focused on distinguishing the various pediatric glaucomas by etiology, thereby assisting in the selection of treatment choices specific to the given condition. 4 For instance, primary congenital glaucoma often is treated with anterior segment angle surgery such as goniotomy or trabeculotomy as the first-line management strategy, whereas secondary glaucomas, such as those associated with anterior segment dysgenesis and aphakic glaucoma, may be initially managed medically.…”

Optical Coherence Tomography in the Eyes of Normal Children

“…It has been shown to have good sensitivity to detect glaucoma in adults 1,2 and is fairly easy to use in children. [3][4][5][6][7][8][9][10] Optical coherence tomography is based on the principle of Michelson interferometry and uses low coherence light, which is reflected by retinal tissues. The technique is noninvasive and well tolerated.…”

Age variations in intraocular pressure in a cohort of healthy Austrian school children

“…1 The effectiveness of a measure used in detection depends to a large extent on its reliability as a differentiator between normal and abnormal states. When dealing with young children, whose eyes are still experiencing growth and concomitant optical and neural changes, the measurement of IOP for early glaucoma detection is limited by a paucity of data for the normal-growing eye from a number of different populations.…”