• Early identification of glaucoma in infants and children by physicians and care providers maximizes the likelihood of preserving
useful vision.
• Glaucomas presenting in infancy share unique features related to the corneal and overall stretching of the eye under high
intraocular pressure.
• Glaucomas presenting in older children sometimes take the form of refractive error, and their timely diagnosis may rely
on careful scrutiny of the optic nerve head configuration and tonometry.
• All children with conditions predisposing to glaucoma should be regularly examined for glaucoma.
• Medical therapy is appropriate first-line therapy for many secondary glaucomas and to help clear the cornea for angle surgery
in primary congenital glaucoma.
• Surgical intervention is essential for primary congenital glaucoma, and is often needed for other primary and secondary
glaucomas inadequately controlled on medications.
• Successful care of childhood glaucoma requires ophthalmologists experienced in treating these rare conditions, but ultimately
also requires a team approach including the family and child among other critical members.