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

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

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.

Integrated or microscope-integrated intraoperative ocular coherence tomography (i2OCT or mi-OCT, respectively) has revolutionized real-time augmentation of the surgical operating field. While corneal and retinal specialists have immediately found uses for this technology, others are beginning to use it to improve outcomes and flatten the learning curve. This book presents the use of i2OCT in pediatric ocular surgery. Case scenarios in pediatric retinal disease, corneal lamellar keratoplasty, and even pediatric cataract surgery are discussed. More novel applications highlighted include its use to identify the levator muscle in oculoplastic surgery, especially re-operations, and to assess the results of glaucoma drainage devices. Identifying extraocular muscles in re-operation for strabismus ensures minimal tissue disruption during surgery. Complex pediatric cataract surgeries can be performed far more simply and effectively using integrated ocular coherence tomography technology. This volume provides invaluable information to both early career and experienced pediatric ocular specialists, as well as any researchers who are likely to encounter i2OCT or mi-OCT technology in the future.

This book takes a clinical approach to the patient with a genetic disease that affects the eye. The chapters on particular types of diseases follow the same organizational format, covering history, pathogenesis and etiology, epidemiology, classification, clinical manifestations and diagnosis, and treatment. The recent progress achieved in the molecular genetics of eye disease is fully reflected throughout the book. It is written by leading experts in the field and provides clinical, molecular genetic and management information on common and rare diseases. The chapters are heavily illustrated and provide a good Atlas for the practicing ophthalmologist or geneticist.

Optical Coherence Tomography (OCT) plays a vital role in pediatric retina diagnosis, often revealing unrecognized retinal disorders and connections to brain injury, disease, and delayed neurodevelopment. Handbook of Pediatric Retinal OCT and the Eye-Brain Connection provides authoritative, up-to-date guidance in this promising area, showing how to optimize imaging in young children and infants, how to accurately interpret these images, and how to identify links between these images and brain and developmental disorders. - Illustrates optimal methods of OCT imaging of children and infants, how to avoid pitfalls, and how to recognize and avoid artifacts - Explains how the OCT image may relate to brain disease and delayed neurodevelopment - Features more than 200 high-quality images and scans that depict the full range of disease in infants and young children - Provides guidance in identifying retinal layers and important abnormalities. - Covers the structural features of the retina and optic nerve head in developmental, acquired, or inherited conditions that affect the eye and visual pathways - Offers practical ways to set up imaging programs in the clinic, operating room, or neonatal nursery

The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.