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Clinical Evaluation of Pediatric Glaucoma Patients


Huijuan Wu, MD, PhD

Dr. Wu is a clinical research fellow working with Teresa C. Chen, MD, in the Glaucoma Service at the Massachusetts Eye and Ear Infirmary.

Teresa C. Chen, MD

Dr. Chen is an associate professor of ophthalmology at Harvard Medical School, director of clinical affairs for the Glaucoma Service at Massachusetts Eye and Ear Infirmary (MEEI) and chief quality officer for ophthalmology at MEEI.

A thorough, accurate clinical evaluation is essential for diagnosis, classification and treatment of pediatric glaucoma, which may be primary or secondary. Primary congenital glaucoma (PCG) occurs in about 1 in 10,000 births, representing 50 to 70 percent of congenital glaucoma cases and 22 percent of all pediatric glaucomas. Examination of a pediatric patient can be challenging, especially for certain glaucoma-specific exam elements or when the patient is uncooperative or unwilling. This article discusses the most important exam elements for glaucoma diagnosis and management.

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