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Glaucoma is a disease where damage to the optic nerve can lead to blindness. Most of the time, it is discussed as affecting adults, but children can also be diagnosed with glaucoma.
Although rare in children, the signs and symptoms of glaucoma are often different from adults. While your ophthalmologist will be the one to definitively diagnose and treat childhood glaucoma, parents are the key to early diagnosis and treatment. Below is a brief overview of the types of glaucoma that can affect children and the key signs that parents should look for.
Congenital glaucoma (also called infantile glaucoma) is most often diagnosed within the first year of life and occurs in 1 in every 10,000 births in the United States. Signs to look for include:
Juvenile glaucoma occurs at any time during childhood. Unlike those suffering from congenital/infantile glaucoma, older children will be able to better describe their discomfort and symptoms. Symptoms and signs to look for include:
Secondary glaucoma can also occur at any time during childhood. These types of glaucoma can be associated with abnormal ocular conditions such as aniridia or can be part of a systemic disease such as Sturge-Weber syndrome, Juvenile Idiopathic Arthritis, Axenfeld-Rieger syndrome, or Marfan syndrome. Secondary glaucoma can also develop after trauma, following eye surgery such as cataract removal and following treatment with steroids.
The key to successful preservation of vision is early diagnosis and treatment. Parents should take their children to a pediatric ophthalmologist if they notice the above symptoms/signs or if there is any reason to suspect that something might be wrong with their child’s eyes; timely diagnosis and appropriate care offer the best chances of preventing vision loss.
Treatments for childhood glaucoma include medications and surgery depending on the cause of the disease; regular follow-up is crucial even after glaucoma has been controlled. With timely treatment and periodic follow-up to monitor vision changes and other eye functions, many children go on to live normal lives with good vision.
Article by Robert M. Feldman, MD and Lauren S. Blieden, MD.
Robert M. Feldman, MD is Professor, McGovern Medical School, Ruiz Department of Ophthalmology and Visual Sciences, University of Texas Health Sciences Center in Houston, Texas.
Lauren S. Bleiden, MD is an Assistant Clinical Professor at the Alkek Eye Center, Cullen Eye Institute, Baylor College of Medicine, Texas Children's Hospital in Houston, Texas.
Last reviewed on March 06, 2020
This article appeared in the January 2014 issue of Gleams.Subscribe