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Invited Commentary
February 2018

Visual Field Assessment in Children

Author Affiliations
  • 1Jules Stein Eye Institute, University of California-Los Angeles, Los Angeles
JAMA Ophthalmol. 2018;136(2):162-163. doi:10.1001/jamaophthalmol.2017.5935

Successful visual assessment in children with glaucoma is an important but difficult tool to use in treatment. The hurdles to achieving a useful assessment often lead physicians to avoid such measurements altogether. To my knowledge, little evidence has been presented in the literature about the reliability, repeatability, and accuracy of perimetry in children and its clinical usefulness.

Primary congenital glaucoma is a rare disease, affecting approximately 1 in 20 000 newborns in Western countries but may be higher in certain other populations.1 Other forms of childhood glaucoma occur more commonly and can be grouped into uveitic and other secondary forms.2 Uveitic glaucoma in children is most often associated with juvenile immune arthritis. Other secondary forms are associated with Marfan syndrome, Sturge-Weber syndrome, anterior segment dysgeneses, phacomatoses, retinopathy of prematurity, steroid-induced glaucoma, traumatic glaucoma, and glaucoma after surgery for congenital cataract. Quite often, while the primary disease might not be sight threatening, the secondary glaucoma may cause blindness if inadequately treated.

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