Special considerations for pediatric glaucoma


Peter A. Netland

John Samples

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Purpose: Our purpose was to review current medical and surgical management of pediatric glaucoma, and to describe potential glaucoma therapies for use in pediatric patients.
Methods: We reviewed the literature using available databases. Personal communications were included for therapies currently being developed and evaluated.
Results: Surgery provides effective treatment for most developmental glaucomas. Adjunctive medical therapy is useful in patients with developmental glaucomas, and primary medical therapy may be effective in some patients with secondary causes of pediatric glaucoma. Less invasive approaches and technological innovations have introduced modifications of goniotomy, trabeculotomy, trans-scleral filtration, and cyclophotocoagulation. In addition, recent developments in medical therapy may have a role in the management of pediatric patients.
Conclusions: Treatment of pediatric glaucoma patients is evolving, with innovations in medical and surgical treatment of glaucoma influencing the management of children with glaucoma.

New Concepts in Glaucoma Surgery Series: Volume 1, pp. 289-295 #21
Edited by: John R. Samples and Iqbal Ike K. Ahmed
© Kugler Publications, Amsterdam, The Netherlands

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