10 Special Considerations: OCT in Childhood Glaucoma

Tanya S. Glaser, Michael P. Kelly, Mays A. El-Dairi, and Sharon F. Freedman

Summary

Optical coherence tomography (OCT) is an important tool for managing glaucoma in children, particularly as children with glaucoma, especially younger children, are not able to perform visual field testing. Special considerations when performing OCT imaging in children with glaucoma include how to optimize and maximize the child's attention and cooperation for image acquisition, as well as how to interpret the OCT results in light of normal ocular development and ocular variations among children. This chapter provides a summary of how OCT can be performed in pediatric patients and also clinical pearls for image acquisition. Suggestions for OCT image interpretation for children and pitfalls to avoid are also discussed.

Key words

pediatric glaucoma - congenital glaucoma - juvenile - infant - handheld OCT - portable OCT

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