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Tytuł:
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Optical coherence tomography in the setting of optic nerve head cupping reversal in secondary childhood glaucoma.
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Autorzy:
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Elhusseiny AM; Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: .
VanderVeen DK; Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
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Źródło:
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Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2021 Aug; Vol. 25 (4), pp. 236-239. Date of Electronic Publication: 2021 Jun 02.
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Typ publikacji:
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Case Reports; Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: [New York] : Elsevier Inc.
Original Publication: St. Louis, MO : Mosby-Year Book, Inc., c1997-
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MeSH Terms:
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Glaucoma*
Hydrophthalmos*
Optic Disk*
Child ; Humans ; Intraocular Pressure ; Tomography, Optical Coherence
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Entry Date(s):
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Date Created: 20210605 Date Completed: 20211014 Latest Revision: 20211014
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Update Code:
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20240105
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DOI:
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10.1016/j.jaapos.2021.03.003
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PMID:
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34089845
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Reversal of optic nerve head (ONH) cupping has been considered an important clinical observation that signals surgical success and control of intraocular pressure (IOP) in childhood glaucoma. Many theories based on elasticity of pediatric eyes have been proposed, including anterior movement of the elastic lamina cribrosa or shrinkage of the scleral canal. The relationship between these factors and axonal loss is unclear when reversal of cupping has been observed. Retinal nerve fiber layer (RNFL) optical coherence tomography (OCT) can help to clarify this. We present a case series of 4 pediatric patients with secondary glaucoma that demonstrated ONH cupping reversal with pre- and postoperative clinical images and RNFL OCT.
(Copyright © 2021 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
