Juvenile Glaucoma Treatment & Management

Updated: Jun 25, 2020
  • Author: Andrew A Dahl, MD, FACS; Chief Editor: Hampton Roy, Sr, MD  more...
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Treatment

Approach Considerations

Treatment of juvenile glaucoma involves lowering of intra-ocular pressure pharmacologically or/and surgically.

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Medical Care

Glaucoma medications may temporally control IOP. Often, a rising eye pressure over 1-3 years may become resistant to all medications and dictate a need for eye surgery.

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Surgical Care

Operations found useful for adult-onset open-angle glaucoma are useful in juvenile glaucoma. In addition, goniotomy is an effective procedure for this disease in both children and adults.

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Consultations

Consultation with an ophthalmologist familiar with this rare type of  glaucoma  may be helpful.

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Activity

No limitations on activity are necessary. When vision remains only in one eye, protection of the remaining seeing eye is mandatory.

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Long-Term Monitoring

Repetitive regular eye examinations are indicated indefinitely after the diagnosis of juvenile glaucoma.

Reexamination of the eyes is indicated for those candidate children with a family history of juvenile glaucoma or with myopia and borderline IOPs.

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Further Inpatient Care

Careful observation is indicated after glaucoma surgery.

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Inpatient and Outpatient Medications

As dictated by IOPs, antiglaucoma medications may be indicated.

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