2020–2021 BCSC Basic and Clinical Science Course™
6 Pediatric Ophthalmology and Strabismus
Part II: Pediatric Ophthalmology
Chapter 22: Pediatric Glaucomas
This chapter includes related videos, which can be accessed by scanning the QR codes provided in the text or going to www.aao.org/bcscvideo_section06.
Pediatric glaucomas are a heterogeneous group of diseases that may result from an isolated congenital abnormality of the aqueous outflow pathways (primary glaucoma) or from abnormalities affecting other regions of the eye (secondary glaucoma). A variety of systemic conditions are associated with pediatric glaucoma. See BCSC Section 10, Glaucoma, for additional discussion of topics covered in this chapter.
In 2013, an international classification system for childhood glaucoma was established by the Childhood Glaucoma Research Network and the World Glaucoma Association. In the classification system, childhood glaucoma is defined as intraocular pressure (IOP)–related damage to the eye as opposed to IOP-related damage to the optic nerve, which defines adult glaucoma. This classification is summarized in Table 22-1, and an algorithm for classifying a patient with childhood glaucoma using these criteria is presented in Figure 22-1.
Beck AD, Chang TCP, Freedman SF. Definition, classification, differential diagnosis. In: Weinreb RN, Grajewski AL, Papadopoulos M, Grigg J, Freedman S, eds. Childhood Glaucoma. Amsterdam: Kugler Publications; 2013:3–10. World Glaucoma Association Consensus Series—9.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.