Pregnancy and Pediatric Patients

ELLIOTT M. KANNER and PETER A. NETLAND

Glaucoma in younger individuals is less common and is managed differently compared with adults. In young adults, pregnancy and lactation can be considerations in medical management decisions. Pediatric glaucoma is treated primarily surgically, and medications are usually in a supportive role, often to bridge the gap to surgery and clear the cornea prior to surgery. Although long-term response to medical therapy can be achieved in children, glaucoma medications are often used as adjunctive therapy after surgical treatments. The effectiveness and side effect profiles for some medications are significantly different in very young patients, which can influence management decisions. In this chapter, we review glaucoma medical therapy considerations in pregnancy, lactation, and pediatric patients.

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