Surgical Management Of Childhood Glaucoma

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.

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

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.

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

This book is designed to offer a comprehensive overview of childhood glaucoma, covering both its clinical and surgical aspects. Spanning 28 chapters, this work is the collective effort of esteemed international authors, exploring a wide range of topics from fundamental classification, diagnosis, and genetics, to detailed surgical procedures. The sections dedicated to surgical techniques present a step-by-step guide to various glaucoma surgeries, complete with practical advice to enhance the proficiency of both beginners and experienced surgeons. The reader is acquainted with basic surgical procedures, as well as updates such as circumferential angle surgeries, novel glaucoma shunts, and the role of Minimally Invasive Glaucoma Surgery (MIGS) in the treatment of children. Moreover, the book addresses the management of concurrent conditions often seen with childhood glaucoma, like corneal pathologies, lens anomalies, amblyopia, and strabismus, providing a comprehensive approach to patient care. The concluding section provides insights into the psychosocial and economic aspects of this complex condition, enriching readers with a deeper understanding of its extensive impact. Childhood Glaucoma: Current Trends and Future Prospects is a must-have resource for trainees and expert surgeons alike, with each chapter enriched with high-quality images and illustrations. A collection of carefully selected surgical videos guides the reader through the more intricate aspects of childhood glaucoma surgery, making this book an indispensable resource in the field.

This book covers all of the important elements of paediatric anaesthesia in a concise and structured manner. From the premature infant to the teenager, readers are guided through the complexities they may encounter, with key points at the end of each chapter to summarise the most important information. The common surgical conditions encountered in daily practice are covered along with comprehensive discussion of consent and the law, safeguarding children, and the complexity of drug dosing in the paediatric population. Other topics covered include trauma, burns, resuscitation, principles of intensive care, and transporting a sick child. Each chapter is written by an acknowledged expert in their field, sharing a wealth of relevant, practical experience. Covering the whole curriculum necessary for advanced training, this is essential reading for trainees, general anaesthetists managing children in non-specialist hospitals and anyone aspiring to become a paediatric anaesthetist, as well as those established in the field.

140 pages with 9 tables and 2 figures, of which 1 in full color.

Glaucoma in childhood is vision threatening disease. The initial management mainly involves surgery, and both goniotomy and trabeculotomy have been shown to have high rates of success for primary congenital glaucoma. Even in the best hands, some 15-20% initial procedures fail. For most secondary glaucomas and primary pediatric glaucomas refractory to angle surgery, medical therapy is frequently unsuccessful. In these cases, surgeons are confronted with a choice of what procedure to do next. Classification, symptoms, and diagnostics of childhood glaucoma are mentioned in first descriptive part of book. Authors describe the initial surgical methods in the treatment of primary congenital glaucoma, options of medical therapy and the alternatives surgical options in refractory cases. Authors present glaucoma drainage implants in more details. The experimental study evaluates the clinical course, effectiveness and safety of Molteno and Baerveldt implants in a large group of primary and secondary pediatric glaucomas refractory to conventional surgery, with a long-term follow up. The book is intended for the professionals in ophthalmology.