The Pediatric Glaucomas

Congenital glaucoma is a complex problem, which has been a frequent cause of blindness in the past. Over the past decades, the prognosis of congenital glaucoma has completely changed. Surgical results are very good and enable these children to integrate entirely as adults in society. Based on the authors’ accumulated experience of more than 50 years and 860 cases operated for congenital glaucoma, this well-structured and lavishly illustrated textbook-atlas covers all aspects of congenital and infantile glaucoma, such as the original method for examining new-borns under general anaesthesia in the slit-lamp, the signs and symptoms of the disease and the differential diagnosis, the role and importance of the echometry value for early diagnosis, the gonioscopy results and the three types of congenital glaucomas (pure, refractory and late) and the type of surgery to be performed in each case with the evaluation of follow-up long-term results. Written by renowned international experts of the field, this book will become the golden standard in the field of Pediatric and Congenital Glaucomas.

Here is a comprehensive and up-to-date source on the origins, diagnosis, and management of glaucomas in children. The authors balance evidence-based management guidelines with perspectives from their abundant direct clinical experience. Coverage includes the most recent advances in genetics, medical therapy, and surgical treatment...long-term management...treatment of intractable glaucomas...and other timely topics. Explores the newest knowledge about epidemiology and genetics · medical therapies · surgical management · management of refractory glaucoma · long-term management · penetrating keratoplasty or aphakia/ pseudophakia in children with glaucoma · and much more. Combines evidence-based recommendations with the authors' expert observations and opinions. Reviews important historical developments in pediatric glaucoma treatment. Reflects the most recent terminology and classifications in the field. Uses full-color clinical photographs and line drawings to illustrate important visual concepts. Offers comprehensive references, as well as tables and figures that summarize information from the literature at a glance.

This comprehensive guide thoroughly covers the characteristics and presentations of childhood glaucoma, as well as all surgical options for treatment. Surgical Management of Childhood Glaucoma: Clinical Considerations and Techniques addresses a variety of surgical methods, ranging from angle surgery with recent modifications to cyclodestruction, reviewing each option’s particular set of advantages and disadvantages, and features illustrations and instructional videos of these techniques. Later chapters consider best-practices to providing surgery in developing countries, surgical considerations for patients with corneal opacities and cataracts, and the impact of glaucoma upon quality of life of pediatric patients. Written by leaders in the field of ophthalmology, this book offers readers an exceptional resource on the evaluation and surgical management of childhood glaucoma.

The Patient's Guide to Glaucoma is a very useful educational resource. The authors have done an excellent job of covering the pertinent aspects of glaucoma from the patient's perspective. It provides more complete explanations of aspects of glaucoma care than any other presently available resource. It will be very helpful to patients who want more information about medications, laser, trabeculectomy, tube-shunt surgery, and many other subjects. John S. Cohen, MD Director, Glaucoma Service Cincinnati Eye Institute, Volunteer Clinical Professor University of Cincinnati Drs. Kwon, Greenlee and Fingert are to be congratulated for creating this outstanding educational program on glaucoma. These materials provide an excellent overview of the disease and its treatment. The guide can be read in its entirety or searched to answer specific questions. It is aimed at the intelligent patient seeking to understand his or her disease. The ophthalmologist's best ally in battling glaucoma is a well-informed patient and this guide will serve to develop patients who truly understand their disease. W.L.M. Alward, MD The Frederick C. Blodi Chair in Ophthalmology, Professor of Ophthalmology, Vice-Chair, Dept of Ophthalmology & Visual Sciences, University of Iowa

Preface Childhood is the topic of the ninth World Glaucoma Association Consensus. There has been only sparse attention to the diagnosis and treatment of childhood glaucoma. Both pediatric ophthalmologists and glaucoma specialists provide care for such children. In some instances, they manage these individuals alone and, in others, the management is shared. For this consensus, the participation of both groups was solicited. The global faculty, consisting of leading authorities on the clinical and scientific aspects of childhood glaucoma, met in Vancouver on July 16, 2013, just prior to the World Glaucoma Congress, to discuss the reports and refine the consensus statements. As with prior meetings, it was a daunting task to seek and obtain consensus on such a complicated and nuanced subject. It is unclear how each of us decides how we practice, and evidence to guide us often is sparse. It is remarkable how few high level studies have been conducted on the management of childhood glaucoma. Hence, this consensus, as with the others, is based not only on the published literature, but also on expert opinion. Although consensus does not replace and is not a surrogate for scientific investigation, it does provide considerable value, especially when the desired evidence is lacking. The goal of this consensus was to provide a foundation for diagnosing and treating childhood glaucoma and how it can be best done in clinical practice. Identification of those areas for which we have little evidence and, therefore, the need for additional research also was a high priority. We hope that this consensus report will serve as a benchmark of our understanding. However, this consensus report, as with each of the others, is intended to be just a beginning. It is expected that it will be revised and improved with the emergence of new evidence. Robert N. Weinreb, Chair

This unique resource is a practical, easy-to-use guide for the non-ophthalmologist healthcare provider as they encounter patients with eye complaints and other concerning ophthalmic conditions. The Columbia Guide to Basic Elements of Eye Care is specifically designed with the non-ophthalmologist in mind, and provides a foundation of basic eye anatomy and physiology, functional analysis, pathology, and concepts in eye care. Each chapter delivers an accessible summary of various ophthalmic diseases and conditions, all of which are frequently encountered in everyday practice. These chapters provide in-depth discussions on a wide range of topics, from testing and examination procedures to management protocols, referral guidelines and expected frequency of follow-up for each disorder. Complete with hundreds of high-quality, descriptive illustrations and clinical photographs, The Columbia Guide to Basic Elements of Eye Care presents clear, understandable explanations of basic eye anatomy, physiology, disease and treatment for non-ophthalmic practitioners and students. In doing so, this guide provides a framework for determining the normal versus the abnormal, helping the reader recognize which patients require referral, and identify which conditions are developing, require urgent treatment, or can be routinely followed. Non-ophthalmologist healthcare providers and students alike will find this book, written by leaders in the field, a practical resource to consult as they encounter patients with treatable but potentially sight-threatening conditions.

The book provides a comprehensive treatise on all aspects of congenital and pediatric glaucoma. Pediatric glaucoma, due to dependence on anaesthesia facility, are usually managed only in tertiary eye care centers. Being a difficult entity for comprehensive evaluation, many ophthalmologists lack adequate experience in diagnosing and managing this specialized group of patients. Pediatric glaucoma are an important cause of ocular morbidity and visual impairment, which if diagnosed in time, pays dividend in terms of improved quality of life, visual outcome and less disability associated life years in this young age group. Early diagnosis, prompt and effective treatment and rehabilitation play an important role in final visual outcomes. The book covers all important aspects of pediatric examination beginning from clinical examination, diagnostic investigations and treatment protocols. Certain examinations like intraocular pressure measurement, gonioscopy, detailed fundus examination need sedation/ anaesthesia. The video based procedural modules aim to explain standard protocols for performing basic examination in children, such as, under anaesthesia or sedation. It has a case based approach for all types of childhood glaucomas, which helps the residents, glaucoma fellows and practicing ophthalmologists alike to identify different types of childhood glaucomas, plan respective management and refer early, whenever indicated for these conditions. The book will serve as a ready reckoner, an authentic reference book and a teaching tool for practicing glaucoma specialists, general ophthalmologists, ophthalmology residents and glaucoma fellows. The editors have extensive experience in dealing with pediatric glaucoma and contributed years of teaching and research in this field. This book primarily consists of images, diagrams, case presentations and illustrative videos wherever required. It illustrates the clinical findings of different pediatric glaucomas and hence acts as a practical teaching tool by providing a plethora of clinical pictures in adjunct to a short case scenario.

This concise and comprehensive guide is written by international experts of the field who are familiar with the world’s literature. Based on the world’s literature and their own experience, authors state and explain how they prefer to manage patients and problems clinically. Each chapter author gives the reader numerous clear and specific tips and pearls for the diagnosis and management of Glaucoma. The reader-friendly structure of this book ensures that the necessary information is quickly found and remembered. This book ensures a pleasant learning experience on Glaucoma management with the goal of an improved treatment outcome.

The first edition of this volume, published in 2012, has become an indispensable reference for clinicians, a fact that inspired the making of this 2nd edition. The book starts with a discussion of current achievements and limitations of the medical therapy of glaucoma. The focus is then placed on conventional glaucoma procedures such as trabeculectomy, deep sclerectomy, and glaucoma drainage device surgery. A chapter is dedicated to the postoperative management of filtering procedures. Further chapters review the role of the ocular surface and the issue of modulation of the scarring processes in glaucoma surgery. The second section covers some promising new devices and techniques. The final part addresses the surgical approaches to some specific clinical challenges: angle-closure glaucoma, concomitant cataract and glaucoma, pediatric glaucoma, and refractory glaucomas. This volume provides residents and general ophthalmologists with valuable new insights into the fascinating and sometimes complex aspects of glaucoma surgery. It will also assist glaucoma specialists when they review and validate therapeutic approaches with their patients.