MAR 21, 2019
Pediatric Ophthalmology Subspecialty Day 2018
Childhood Glaucoma, Congenital Glaucoma, Diagnostic & Imaging, Diagnostic & Screening, Glaucoma, IOP and Aqueous Flow, Medical Therapy, Pediatric Ophth/Strabismus, Surgical Management
Recent advances in glaucoma management have improved the quality of care delivered to adult and pediatric patients:
- Perimetry and OCT are the major ancillary tests for diagnosing glaucoma and monitoring for progression.
- Repeat visual field testing should be performed to confirm or refute the development of a new field defect.
- Computerized algorithms can help in evaluating whether visual field and OCT changes are real.
- Netarsudil (Rhopressa) and latanoprostene bunod (Vyzulta) are new medications to lower IOP. MP-CPC may offer advantages over CW-CPC.
- Trabeculectomy and aqueous shunts remain the most effective ways to lower IOP. MIGS provides modest IOP reduction, but has a better safety profile than traditional glaucoma surgery. Limited information is currently available about MIGS in the pediatric population.