Pediatric Examination Under Anesthesia
Early diagnosis and treatment are essential to minimize the degree of visual impairment in pediatric glaucoma patients. While numerous advances have decreased the frequency with which examination under anesthesia (EUA) in the operating room is required in the care of a particular child with glaucoma, the EUA nonetheless remains important in providing optimal care for children with glaucoma to augment those examination details that may not be easily obtained in the clinic. An EUA is hence often required to diagnose, to assess the severity and presence of progression, to initiate treatment, and to help determine the exact surgical strategy in complex cases or after initial medical treatment has failed to control the glaucoma.
KeywordsExamination under anesthesia Gonioscopy Posterior segment evaluation Measurement of intraocular pressure Central corneal thickness Ultrasound Corneal diameter Optic disc assessment Axial length
- 1.Papadopoulos M, Brandt JD, Sugiyama K, Khaw PT, Chua J, Law S, et al. Establishing the diagnosis and determining glaucoma progression. In: Weinreb RN, Grajewski A, Papadopoulos M, Grigg J, Freedman S, editors. Childhood glaucoma, WGA consensus series 9. Amsterdam: Kugler Publications; 2013. p. 15–42.Google Scholar
- 10.Levy J, Lifshitz T, Rosen S, Tessler Z, Biedner BZ. Is the Tono-Pen accurate for measuring intraocular pressure in young children with congenital glaucoma? JAAPOS. 2005;9(4):321–5.Google Scholar
- 24.Anderson DR. The development of the trabecular meshwork and its abnormality in primary infantile glaucoma. Tans Am Ophthalmol Soc. 1981;79:458–85.Google Scholar