AUG 26, 2009
A thorough, accurate clinical evaluation is essential for diagnosis, classification and treatment of pediatric glaucoma, which may be primary or secondary. Primary congenital glaucoma (PCG) occurs in about 1 in 10,000 births, representing 50 to 70 percent of congenital glaucoma cases and 22 percent of all pediatric glaucomas. Examination of a pediatric patient can be challenging, especially for certain glaucoma-specific exam elements or when the patient is uncooperative or unwilling. This article discusses the most important exam elements for glaucoma diagnosis and management.