Pediatric Glaucoma
Specialists in North Texas
Discovering that your child may have pediatric glaucoma can be unsettling. You might worry about how it will affect their vision and overall well-being, leaving you with concerns about their development, daily activities, and long-term outlook.
Expert Pediatric Glaucoma Treatment for North Texas
At Pediatric Eye Specialists, we understand your concerns and are here to provide the information and care your child needs. Our team will offer expert care and compassionate support throughout the entire process. Let us guide you through pediatric glaucoma—how it impacts your child’s vision, what it could mean for their future, and the treatment options available. We are committed to offering treatment, support, and reassurance every step of the way.
The Basics: What is Pediatric Glaucoma?
Pediatric glaucoma is a rare but serious eye condition in children that results from increased intraocular pressure (IOP), which can damage the optic nerve and lead to vision loss if untreated. There are two main types of pediatric glaucoma: primary and secondary. Primary congenital glaucoma (PCG) occurs from birth to age three, while juvenile open-angle glaucoma (JOAG) develops after age three. Secondary glaucoma arises from other eye disorders, injuries, or diseases.
The primary cause of pediatric glaucoma is abnormal eye development, which prevents proper fluid drainage, increasing IOP. Risk factors include genetic predisposition, family history, certain medical conditions, and previous eye injuries or surgeries. Signs of pediatric glaucoma include excessive tearing, light sensitivity, a cloudy or enlarged cornea, one eye appearing larger than the other, vision loss, and eye pain in cases of high pressure. However, some children may not show symptoms, making regular eye exams important, especially for those with a family history of glaucoma.
Why Pediatric Eye Specialists for Pediatric Glaucoma Treatment
The Most Experienced Team in North Texas
With over sixty-five years of collective pediatric ophthalmology expertise, we offer your child unparalleled collaborative care.
Five Convenient Locations
Easily accessible care with offices in Fort Worth, Denton, Southlake, Mansfield, and Prosper, TX.
Unrushed, Clear Communication
We take the time to discuss your child's diagnosis and treatment, ensuring all your questions are answered to ease your concerns.
Affiliated with Cook Children’s Hospital
Our partnership with Cook Children’s Hospital means if your child needs surgery, imaging, or other specialists, they will be treated in one of the nation’s leading pediatric hospitals.
Specialized Expertise
Our expertise means that more optometrists, doctors, and specialists refer their pediatric eye patients to Pediatric Eye Specialists than any other pediatric eye practice in North Texas.
Child and Family Focused
Kids love us, and we love kids! We provide a caring environment for your child and your family.
Advanced Diagnostic Technology
We have the most comprehensive pediatric diagnostic suite in North Texas, allowing for precise diagnosis and highly personalized treatment plans.
Every Child Needs Access to Expert Eye Care
Championing the right to sight, we help you navigate insurance, cash pay, and Medicaid options to make superior eye care feasible for all children regardless of their socioeconomic status.
Benefits of Early Glaucoma Treatment
Early treatment of pediatric glaucoma can greatly enhance a child’s quality of life and prevent long-term complications. Timely intervention is essential for healthy visual development and can help avoid permanent vision damage.
Success You Can Expect for Your Child
Preservation of Vision
The main goal of treating pediatric glaucoma is to protect your child’s vision. By catching and treating it early, we can help prevent lasting damage to the optic nerve and reduce the chances of significant vision loss, ensuring your child’s sight is preserved as much as possible.
Improved Quality of Life
Effective treatment can greatly enhance your child’s daily life. It can help reduce symptoms like light sensitivity and excessive tearing, as well as relieve any eye discomfort caused by the condition. Your child will be able to see more clearly and enjoy everyday activities with greater comfort and confidence.
Long-term Success
Thanks to advancements in treatment, many children with pediatric glaucoma experience positive long-term outcomes. Modern surgical techniques have shown high success rates, which means your child has a good chance of maintaining better vision as they grow.
Fewer Additional Surgeries
With effective treatment, the need for additional surgeries can be minimized. Some children require fewer follow-up procedures, allowing them to focus on their growth and development without frequent medical interruptions.
Healthier Eye Development
Treating pediatric glaucoma helps support normal eye development. Proper care can prevent some of the complications that come with untreated glaucoma, such as poor vision or the need for stronger corrective lenses as your child gets older.
Better Vision Outcomes
While pediatric glaucoma is a serious condition, with the right treatment plan, your child’s vision can improve. Addressing related issues like amblyopia ("lazy eye") alongside glaucoma treatment gives your child the best chance for clearer, sharper vision in the future.
Real Stories,
Real Smiles.
“They were very good with my nonverbal toddler. It was the best doctor visit experience we have had yet. They were awesome, caring, and quick!.”
Amy Glover
Parent of Patient
“Today, Dr. Packwood saved my youngest from a life of blindness and worked a miracle for my family. I cannot express enough gratitude and thanks for their skillful surgery and expertise. 10 of 10 highly recommend.”
Atticus Lee
Parent of Patient
“The staff here is so amazing with my son. We had such a wonderful experience both at the office and for his surgery! I highly recommend Pediatric Eye Specialists!!!!“
Gianna Stutzman
Parent of Patient
“We are so grateful for the genuine care that Dr. Duff provided for our son Lorenzo, which prevented him from going blind! She is truly a gift to the community.“
JS Cocjin
Parent of Patient
“Professional, compassionate, kind and friendly. They took great care of my preemie baby from Day 1 of ROP. Very happy with how my daughter is progressing and has healthy eyes now.”
Suresh K.C.
Parent of Patient
“We’ve seen Dr. Hunt for the past 6 years since my daughter was 9 days old. We have multiple appointments each year and even eye surgery when she was 1. Our experience here has been fantastic every time and we highly recommend this group!.”
Mandy Edmondson
Parent of Patient
“Dr. Norman has always been very attentive and thorough with my daughter, who has Type 1 Diabetes. The staff are warm and always do their best to be accommodating. I highly recommend Dr. Norman.”
Tricia Moon
Parent of Patient
“Absolutely recommend! All around great experience! They made my son feel comfortable during the visit. Treatment was explained, and I walked out with no questions. I loved it. “
Cynthia Valero
Parent of Patient
“Great staff, great doctors; they know how to help ease kids’ fears and provide excellent service. Had to get my little one in same day for an eye injury, and they found a way to make it happen. Would 100% recommend.“
Kris K
Parent of Patient
Start your child’s journey to better vision today.
Embrace a future of clearer vision and confidence for your child. Contact us now to book your consultation at any of our convenient locations across the Metroplex.
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Causes of Pediatric Glaucoma
Why are the causes of my child's glaucoma?
Pediatric glaucoma can develop due to several factors, typically falling into two categories: primary and secondary causes. Primary childhood glaucoma happens because of issues with how the eye’s drainage system develops. In some cases, it appears at birth or within the first three years of life, which is known as primary congenital glaucoma (PCG). This type occurs when parts of the eye, like the trabecular meshwork, don’t form correctly, making it hard for fluid to drain and increasing eye pressure. For children older than three, juvenile open-angle glaucoma (JOAG) may develop, and this type is often linked to genetics. Specific genes like CYP1B1 and MYOC have been found to play a role in these forms of glaucoma.
Pediatric glaucoma can also occur because of other eye or medical conditions. Some children may develop glaucoma due to genetic syndromes, such as Axenfeld-Rieger syndrome or Sturge–Weber syndrome, or after an eye injury or surgery, like cataract surgery. Prolonged use of certain medications, such as steroids, can also increase the risk.
Pediatric glaucoma risk factors can include a family history of the condition, certain genetic syndromes, and previous eye surgeries or injuries. Children who have experienced trauma to the eye or have used certain medications, such as steroids, may also be at higher risk. At Pediatric Eye Specialists, our team is dedicated to identifying these risk factors early and providing the best care possible to protect your child’s vision and overall well-being.
Understanding these causes is vital for Pediatric Eye Specialists in diagnosing and formulating an effective treatment plan for glaucoma.
Recognizing the Signs and Symptoms of Pediatric Glaucoma
Recognizing pediatric glaucoma early is crucial for timely treatment and to protect your child’s vision. While symptoms can vary, there are several key signs that parents and caregivers should be aware of:
Excessive Tearing
One of the earliest signs of pediatric glaucoma is an unusual amount of tearing, which may not be related to crying or other common causes.
Cloudy or Enlarged Cornea
A cloudy, hazy, or enlarged cornea can be a visible sign of increased eye pressure. The cornea, which should be clear, may appear grey or opaque. This is often one of the first noticeable symptoms.
Sensitivity to Light (Photophobia)
Children with pediatric glaucoma often exhibit sensitivity to light. They may squint or close their eyes more frequently when exposed to bright light, and they may prefer dimly lit environments.
Enlarged Eyes
Sometimes, increased pressure in the eye can cause it to stretch, making the eyes appear larger than normal. This is known as buphthalmos and can be a sign of glaucoma.
Vision Problems
Children with glaucoma may have trouble focusing on or tracking objects. Older children might also show signs of peripheral vision loss, or they may complain of blurry vision.
Eye Pain and Redness
In some cases, elevated pressure in the eye can cause discomfort or pain. The white part of the eye (sclera) may also appear red, indicating irritation.
Frequent Eye Rubbing and Eye Closure in Light
Infants with glaucoma may rub their eyes frequently, and they might close one or both eyes when exposed to light due to discomfort.
Headaches
In older children, headaches can sometimes be a symptom of pediatric glaucoma, particularly if they occur along with vision issues.
Still Have Questions?
Understanding these signs and symptoms is the first step toward getting your child the help they need. If you notice any of these behaviors in your child, it’s important to schedule an eye examination with a pediatric ophthalmologist. Glaucoma is often best managed when caught early, and Pediatric Eye Specialists is equipped with the expertise and resources to diagnose and effectively treat this condition, helping your child achieve better vision and an improved quality of life.
Diagnosing Glaucoma in Children
Pediatric glaucoma is diagnosed through a comprehensive eye examination performed by a pediatric ophthalmologist. The process includes several important steps to assess the eye’s health and detect signs of glaucoma.
intraocular pressure (IOP) Measurement
One of the key components is measuring intraocular pressure (IOP), as elevated pressure inside the eye is a primary sign of glaucoma.
Optical Nerve Exam
The doctor will also examine the optic nerve for any damage or abnormalities, sometimes using imaging tests for a more detailed view.
Corneal Exam
The cornea is carefully evaluated, especially in infants and young children. Cloudiness or enlargement of the cornea can be a sign of glaucoma.
Visual Accuity Test
For older children, visual acuity tests are performed using standard eye charts to assess their ability to see at various distances. A visual field test may also be conducted to check for any loss of peripheral vision.
Optical Coherence Tomography (OCT) & Other Tests
During the exam, the doctor will dilate the pupil with eye drops to get a closer look at the retina and optic nerve. Optical Coherence Tomography (OCT) might also be used to detect early optic nerve damage. Another important test, called gonioscopy, helps the doctor evaluate the eye’s drainage angle and determine the type of glaucoma your child may have.
In some cases, additional measurements like corneal thickness, axial length, and corneal diameter may be taken. Diagnosing glaucoma in young children can be challenging, and if necessary, the examination may be performed under anesthesia to ensure accurate results.
Early and regular eye exams are essential for diagnosing and managing pediatric glaucoma. Timely detection can significantly improve your child’s prognosis and help prevent vision loss.
Treatments for Pediatric Glaucoma
Treating pediatric glaucoma usually involves both eye surgery and medication, with the main goal of lowering the pressure inside the eye to prevent vision loss. Surgery is often the first step, especially for younger children with primary congenital glaucoma (PCG).
Advanced Surgical Treatment Options
There are different surgical options depending on your child’s specific needs. For some children, a procedure called goniotomy is used, while others may need a trabeculotomy, especially if the cornea is cloudy.
In some cases, a more advanced method like 360° catheter-assisted trabeculotomy may be recommended for its high success rate.
If these surgeries don’t fully control the glaucoma, doctors might use an implant, a special device to help drain fluid from the eye and manage eye pressure.
In many cases, newer, less invasive surgeries and techniques are being explored to offer better outcomes with fewer complications.
Medication
Medications can also play a key role in treatment. Eye drops are often prescribed to help reduce eye pressure, and oral medications might be used if necessary. Newer treatments are being explored, and doctors will choose the safest and most effective options for your child.
Regular Check-Ups Post-Treatment
After treatment, regular check-ups are very important to monitor your child’s eye health and ensure that the glaucoma is under control. In some cases, children may need more than one surgery, and managing any other vision issues, like lazy eye (amblyopia), is also a part of the long-term care plan. For younger children, these follow-ups may sometimes need to be done under anesthesia to get accurate results.
Our commitment at Pediatric Eye Specialists is to provide your child with the highest standard of care, combining medical expertise with compassion and understanding.
Projecting Outcomes for Pediatric Glaucoma Management
The outcomes for pediatric glaucoma treatments can vary depending on the type of surgery and the individual child’s condition, but early intervention is key to achieving the best results.
For Glaucoma Surgery Patients
For surgeries like goniotomy and trabeculotomy, many children experience good control of eye pressure after one or two procedures, particularly when treated at a young age. Some newer surgical techniques, such as circumferential trabeculotomy, have shown positive results over the long term, helping to manage glaucoma effectively.
For More Complex Cases
In more complex cases, use of glaucoma drainage devices may be needed. These approaches can help control eye pressure but may require ongoing monitoring and, in some cases, additional procedures. Combined surgeries, which use more than one technique, can also offer good results when needed.
Long-Term Outcomes
Long-term success can be influenced by several factors, such as how early the glaucoma was diagnosed, the specific type of glaucoma, and whether the child has other vision conditions like amblyopia. Children diagnosed with primary congenital glaucoma often have the best outcomes when treatment starts early. While vision outcomes can vary, many children are able to maintain or improve their vision with the right treatment and ongoing care.
At Pediatric Eye Specialists, we focus on early diagnosis and tailored treatments to give your child the best chance at preserving their vision and maintaining a good quality of life.
Secure a Brighter Future: Schedule a Glaucoma Consultation Today
Do not let pediatric glaucoma obscure your child’s vibrant future. Reach out to Pediatric Eye Specialists today to ensure your child receives the expert diagnosis and care they deserve. Take the first step towards clear vision and a lifetime of possibilities for your child.
Start your child’s journey to better vision today.
Embrace a future of clearer vision and confidence for your child. Contact us now to book your consultation at any of our convenient locations across the Metroplex.
This section addresses common questions and concerns about pediatric glaucoma From treatment options and timelines to insurance and payment queries, we aim to provide clear, concise answers.
What treatments are available for pediatric glaucoma?
Treatment for pediatric glaucoma often involves a combination of therapies, such as eye drops like carbonic anhydrase inhibitors (a type of enzyme inhibitor), and surgical procedures like a trabeculotomy, or even the use of a glaucoma valve. For more complex cases, treatments such as laser therapy or cyclodestruction may be recommended to lower intraocular pressure. Pediatric Eye Specialists provides a full range of treatment options, including both medical and surgical therapies, to protect your child’s vision.
Can pediatric glaucoma cause blindness?
If left untreated, pediatric glaucoma can result in significant vision loss or even blindness. Early diagnosis and prompt treatment are essential to prevent long-term damage to the optic nerve. At Pediatric Eye Specialists, we prioritize early intervention to help preserve your child’s vision and prevent further complications.
What is the recovery process after pediatric glaucoma surgery?
The recovery process after pediatric glaucoma surgery depends on the type of procedure performed. Most children will require regular follow-ups to monitor eye pressure and ensure proper healing. Your child may also need to use eye drops or other medications during recovery. At Pediatric Eye Specialists, we guide families through the recovery process with comprehensive follow-up care to ensure the best outcomes.
What are the long-term outcomes for children treated for pediatric glaucoma?
With early diagnosis and proper treatment, many children with pediatric glaucoma can maintain good vision and lead a normal everyday life. In other cases, treatments may include managing visual impairment, addressing issues with visual perception, and ensuring the health of the optic nerve. Pediatric Eye Specialists works to preserve your child’s vision while supporting their overall quality of life.
Is pediatric glaucoma hereditary?
Pediatric glaucoma can be hereditary, particularly in cases of primary congenital glaucoma or juvenile open-angle glaucoma. If there is a family history of juvenile glaucoma, it’s important to have your child’s eyes checked early. Pediatric Eye Specialists can help assess genetic risk factors and provide early detection and treatment to protect your child’s vision.
How often should my child have eye exams if they have pediatric glaucoma?
Children with pediatric glaucoma require regular eye exams to monitor intraocular pressure, optic nerve health, and overall vision. Typically, follow-ups are scheduled every few months, depending on the severity of the condition. At Pediatric Eye Specialists, we ensure that your child receives the ongoing care needed to manage their glaucoma and maintain healthy vision.
What are the risks of not treating pediatric glaucoma?
If pediatric glaucoma is left untreated, it can lead to irreversible optic nerve damage and permanent vision loss, including blindness. Without treatment, the increased eye pressure continues to damage the optic nerve over time. At Pediatric Eye Specialists, we emphasize the importance of early and proactive treatment to minimize these risks and preserve your child’s sight.
Can pediatric glaucoma be cured?
While pediatric glaucoma cannot be cured, it can be effectively managed with the right treatment and regular monitoring. The goal is to control the intraocular pressure and prevent further damage to the optic nerve. At Pediatric Eye Specialists, our team provides expert care to manage the condition and improve your child’s quality of life.
What are the most common surgical treatments for pediatric glaucoma?
The most common surgical treatments for pediatric glaucoma is a trabeculotomy, which help improve fluid drainage from the human eye and reduce pressure. In more severe cases, placement of a glaucoma drainage device may be recommended. Pediatric Eye Specialists offers these advanced surgical options to ensure your child receives the best care possible.
Will my child needs more than one surgery for pediatric glaucoma?
Some children with pediatric glaucoma may need more than one surgery to effectively control eye pressure and protect their vision. Each child’s case is unique, and the need for additional procedures depends on how well the eye responds to treatment. At Pediatric Eye Specialists, we closely monitor your child’s progress and adjust their care plan as needed to ensure the best outcome.
Can pediatric glaucoma develop due to birth defects or genetic conditions?
Yes, pediatric glaucoma can sometimes be linked to birth defects or genetic conditions such as aniridia, Axenfeld-Rieger syndrome, and Sturge Weber. These conditions can affect the development of important structures in the eye, such as the iris, ciliary body, and trabecular meshwork, leading to glaucoma. At Pediatric Eye Specialists, we assess each child’s unique medical diagnosis to provide the most effective treatment plan.
How is pediatric glaucoma diagnosed?
Pediatric glaucoma is diagnosed using various techniques, including ocular tonometry to measure eye pressure, and corneal topography to assess the shape and condition of the cornea. Ultrasound may also be used to examine the anterior segment of the eyeball. These tests help the physician determine the best course of treatment. At Pediatric Eye Specialists, we use advanced technology to ensure an accurate medical diagnosis.
Can pediatric glaucoma affect other parts of the body?
Pediatric glaucoma primarily affects the eyes, but it can be associated with systemic conditions like retinopathy of prematurity or Axenfeld-Rieger syndrome, which impact the development of the central nervous system and other tissues in the body. In some cases, conditions like strabismus (misaligned eyes) or peripheral neuropathy can also be linked to glaucoma. Pediatric Eye Specialists provides comprehensive care, taking into account any related conditions that may affect your child’s overall health.
How do physicians determine the best treatment for pediatric glaucoma?
Physicians at Pediatric Eye Specialists use a variety of diagnostic tools to determine the best treatment for your child’s glaucoma, including ophthalmic drug administration and the assessment of inflammation, nerve damage, and tissue changes in the eye. They may also evaluate the child’s risk for other eye conditions, such as myopia, to ensure a comprehensive treatment plan.
