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Pediatric Ophthalmology pp 345–374Cite as

Glaucoma in Infancy and Early Childhood

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Abstract

• Early identification of glaucoma in infants and children by physicians and care providers maximizes the likelihood of preserving useful vision.

• Glaucomas presenting in infancy share unique features related to the corneal and overall stretching of the eye under high intraocular pressure.

• Glaucomas presenting in older children sometimes take the form of refractive error, and their timely diagnosis may rely on careful scrutiny of the optic nerve head configuration and tonometry.

• All children with conditions predisposing to glaucoma should be regularly examined for glaucoma.

• Medical therapy is appropriate first-line therapy for many secondary glaucomas and to help clear the cornea for angle surgery in primary congenital glaucoma.

• Surgical intervention is essential for primary congenital glaucoma, and is often needed for other primary and secondary glaucomas inadequately controlled on medications.

• Successful care of childhood glaucoma requires ophthalmologists experienced in treating these rare conditions, but ultimately also requires a team approach including the family and child among other critical members.

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Authors and Affiliations

  1. Ophthalmology Pediatrics, Duke University, Erwin Road, Box 3802, 27710, Durham, NC, USA

    Sharon F. Freedman & Suzanne C. Johnston

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  1. Sharon F. Freedman
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  2. Suzanne C. Johnston
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Editors and Affiliations

  1. Albert Florens Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, 167, Ashley Avenue, 29425, Charleston, SC, USA

    M. Edward Wilson , Rupal H. Trivedi  & Richard A. Saunders ,  & 

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Freedman, S., Johnston, S. (2009). Glaucoma in Infancy and Early Childhood. In: Wilson, M., Trivedi, R., Saunders, R. (eds) Pediatric Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68632-3_24

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  • DOI: https://doi.org/10.1007/978-3-540-68632-3_24

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