2020–2021 BCSC Basic and Clinical Science Course™
Chapter 11: Glaucoma in Children and Adolescents
Juvenile Open-Angle Glaucoma
Juvenile open-angle glaucoma (JOAG) is a form of primary open-angle glaucoma that presents between the ages of 4 and 35 years with elevated IOP and usually normal-appearing angles. Because most cases of JOAG are inherited as an autosomal dominant trait, many families may be aware of their risk of developing this condition, leading to earlier screening and detection. Although the IOP is elevated, it does not cause corneal enlargement or Haab striae due to the later age of onset; however, progressive myopia may result and continue until 10 years of age. Medical therapy is used as first-line treatment, but many cases are refractory to maximal medical treatment and may require incisional glaucoma surgery. Angle procedures may be helpful in select cases.
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.