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Updated: Jun 22, 2026

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
[Glaucoma in children and adolescents: visual field and optic nerve in children]
1Service d'ophtalmologie, Hôpital Claude Huriez, CHRU de Lille, Place de Verdun, F-59037 Lille cedex, France. jfrouland@chru-lille.fr
Insights
Diagnosing pediatric glaucoma is challenging due to difficulties in visual field testing and a lack of normative data for optical coherence tomography in children, impacting accurate diagnosis and follow-up.
Area of Science:
- Ophthalmology
- Pediatric eye care
- Glaucoma diagnostics
Context:
- Pediatric glaucoma diagnosis requires specialized visual field testing and optic nerve examination.
- Current methods are challenging for children under 6 years old.
- Existing normative data for visual sensitivity and optical coherence tomography are primarily adult-based.
Purpose:
- To highlight the challenges in diagnosing pediatric glaucoma.
- To emphasize the need for age-specific normative values for visual field testing and OCT in children.
- To underscore the importance of optic disc imaging for monitoring.
Summary:
- Automated visual field examinations and optic nerve assessments are crucial for diagnosing glaucoma suspicion in children.
- These tests are difficult in young children, and established normative values for children are lacking.
- Optical coherence tomography provides valuable data but is hard to interpret without pediatric-specific reference values.
Impact:
- Improved diagnostic accuracy for pediatric glaucoma.
- Development of age-appropriate normative data for visual field testing and OCT.
- Enhanced long-term monitoring and management of childhood glaucoma.
Abstract:
High intraocular pressure, or glaucoma suspicion in children, requires to perform an automated visual field examination and to examine the optic nerve. These examinations are often difficult to realize in children, particularly those less than 6 years of age. From 6.5-7 years of age, visual sensitivity threshold is only marginally lower than that of adults, however due to the lack of established normative values for children, reference has to be based on adult normative values. Non mydriatic photographies of optic disc are a key element for follow up. Imaging technique (optical coherence tomography) produce reliable information, but difficult to interpret due to the absence of normative values adapted to children population.
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