Paediatric glaucoma is rare but serious, so early diagnosis and treatment are vital. Careful examination and tailored surgery help protect developing vision.
Diagnosis in children
Signs include large, cloudy corneas, light sensitivity, and tearing. Many children need examination under anaesthetic for accurate measurements.
- Intraocular pressure checks with child-friendly instruments
- Assessment of corneal clarity, size, and optic nerve appearance
- Measurement of axial length and refraction for long-term planning
- Review of family history and associated syndromes
Treatment approaches
Surgery is the mainstay for most forms of childhood glaucoma, supported by drops and close follow-up.
- Angle surgeries such as goniotomy or trabeculotomy to open drainage
- Trabeculectomy or tube shunts in more complex or advanced cases
- Pressure-lowering drops as temporary or additional therapy
- Lifelong monitoring, amblyopia treatment, and glasses as needed
