PURPOSE OF REVIEW: The purpose of this review is to update the clinician on the recent work in the field of pediatric glaucoma. RECENT FINDINGS: Using the iCare tonometer to measure intraocular pressure (IOP) in children is highly successful. New data from the Infant Aphakia Treatment Study show that after 5 years of follow-up the risk of developing glaucoma is similar between patients that receive initial intraocular lens implantation and those who are left aphakic. New data show effective lowering of IOP using either approach to trabeculotomy: treating the angle partially with trabeculotomes or circumferentially with a suture or iTrack microcatheter. Recent data on an updated approach to trabeculectomy in children show success in lowering IOP with few complications; however, visual outcomes continue to be suboptimal. A separate study shows that the addition of tenonectomy may not increase surgical success, but may increase survival time and reduce bleb encapsulation. Glaucoma drainage devices in general, and the Ahmed implant in particular, continue to be found to be moderately successful to control IOP, and are therefore employed, especially after initial angle surgery has failed. SUMMARY: Continued work to evaluate the techniques used in the clinical and surgical management of pediatric glaucoma patients supports that both newer and older approaches remain standard of care.
PURPOSE OF REVIEW: The purpose of this review is to update the clinician on the recent work in the field of pediatric glaucoma. RECENT FINDINGS: Using the iCare tonometer to measure intraocular pressure (IOP) in children is highly successful. New data from the Infant Aphakia Treatment Study show that after 5 years of follow-up the risk of developing glaucoma is similar between patients that receive initial intraocular lens implantation and those who are left aphakic. New data show effective lowering of IOP using either approach to trabeculotomy: treating the angle partially with trabeculotomes or circumferentially with a suture or iTrack microcatheter. Recent data on an updated approach to trabeculectomy in children show success in lowering IOP with few complications; however, visual outcomes continue to be suboptimal. A separate study shows that the addition of tenonectomy may not increase surgical success, but may increase survival time and reduce bleb encapsulation. Glaucoma drainage devices in general, and the Ahmed implant in particular, continue to be found to be moderately successful to control IOP, and are therefore employed, especially after initial angle surgery has failed. SUMMARY: Continued work to evaluate the techniques used in the clinical and surgical management of pediatric glaucomapatients supports that both newer and older approaches remain standard of care.
Authors: Hari Jayaram; Richard Scawn; Francisco Pooley; Mark Chiang; Catey Bunce; Nicholas G Strouthidis; Peng Tee Khaw; Maria Papadopoulos Journal: Ophthalmology Date: 2015-08-24 Impact factor: 12.079
Authors: Teresa C Chen; Philip P Chen; Brian A Francis; Anna K Junk; Scott D Smith; Kuldev Singh; Shan C Lin Journal: Ophthalmology Date: 2014-07-24 Impact factor: 12.079
Authors: Sharon F Freedman; Michael J Lynn; Allen D Beck; Erick D Bothun; Faruk H Örge; Scott R Lambert Journal: JAMA Ophthalmol Date: 2015-08 Impact factor: 7.389
Authors: Maria E Lim; Daniel E Neely; Jingyun Wang; Kathryn M Haider; Heather A Smith; David A Plager Journal: J AAPOS Date: 2015-04 Impact factor: 1.220
Authors: Andrew Chen; Fei Yu; Simon K Law; JoAnn A Giaconi; Anne L Coleman; Joseph Caprioli Journal: JAMA Ophthalmol Date: 2015-09 Impact factor: 7.389
Authors: Alicja Strzalkowska; Nina Pirlich; Julia V Stingl; Alexander K Schuster; Jasmin Rezapour; Felix M Wagner; Justus Buse; Esther M Hoffmann Journal: J Clin Med Date: 2022-05-18 Impact factor: 4.964
Authors: Cristina Alvarez-Peregrina; Clara Martinez-Perez; Miguel Ángel Sánchez-Tena Journal: Int J Environ Res Public Health Date: 2022-07-22 Impact factor: 4.614