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Related Experiment Videos

Glaucoma in children: are we making progress?

Albert W Biglan1

  • 1University of Pittsburgh School of Medicine, Department of Ophthalmology, Cranberry Township, PA, USA. abiglan@bellatlantic.net

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 11, 2006
PubMed
Summary

Pediatric glaucoma management requires careful monitoring of intraocular pressure (IOP) and amblyopia treatment. Maintaining IOP below 19 mm Hg is crucial for stable visual fields and optic nerve health in children.

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Visual acuity in children with glaucoma.

Ophthalmology·2006

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Glaucoma Research

Background:

  • Pediatric glaucoma presents significant clinical challenges, with a risk of blindness even with treatment.
  • This study reviews the long-term outcomes of childhood glaucoma.

Purpose of the Study:

  • To analyze the visual acuity, refractive error, and intraocular pressure (IOP) in children with glaucoma.
  • To evaluate the effectiveness of IOP control and amblyopia treatment in preserving vision.
  • To provide a historical perspective on childhood glaucoma admissions.

Main Methods:

  • Retrospective analysis of 126 children (204 eyes) diagnosed with glaucoma before age 16.
  • Classification of glaucoma into infantile, aphakic, syndrome-related, and secondary types.

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  • Longitudinal data collection on visual acuity, refractive error, optic nerve head, and perimetry, with a mean follow-up of 11.6 years.

    • Main Results:

    • Overall, 29.4% of eyes achieved corrected visual acuity of 6/12 (20/40) or better.
    • Infantile glaucoma had the best visual outcomes, while aphakic glaucoma had the worst.
    • Maintaining IOP at or below 19 mm Hg in 80% of visits correlated with stable optic nerve C/D ratios.
    • Stable visual fields were observed when IOP was controlled in 70% of measurements.
    • A significant decrease in childhood glaucoma admissions was noted from 1971-2003 compared to earlier decades.

    Conclusions:

    • Delaying congenital cataract removal until 3-4 weeks of age is recommended.
    • An intraocular pressure (IOP) target of 19 mm Hg or less should be considered for treatment success.
    • Amblyopia treatment is as critical as IOP control in pediatric glaucoma management.
    • Advanced imaging technologies like OCT and central corneal thickness measurement may aid future assessments.