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    What Our Adult Specialty Colleagues Can Teach Us: Glaucoma, a High-Pressure System

    Pediatric Ophthalmology Subspecialty Day 2018
    12:26
    Childhood Glaucoma, Congenital Glaucoma, Diagnostic & Imaging, Diagnostic & Screening, Glaucoma, IOP and Aqueous Flow, Medical Therapy, Pediatric Ophth/Strabismus, Surgical Management
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    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.