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    Glaucomatous optic disc changes despite normal baseline intraocular pressure in a child

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    Author
    Hoffman, Brent B.; Rosenfeld, Eldar; Grajewski, Alana L.; Chang, Ta C.
    Abstract
    Purpose: We describe a case of normal tension glaucoma in the setting of sickle cell disease in a 9-year-old patient with a five-year follow up. Observations: A 9-year-old male patient with a history of sickle cell disease presented initially at the age of 4 years for evaluation of a brief episode of nonspecific eye pain that had spontaneously resolved prior to the clinic visit. Over the course of several years, the patient was noted to have progressive optic disc cupping bilaterally, retinal nerve fiber layer thinning bilaterally, and has developed a corresponding inferior arcuate defect on automated visual field testing in the right eye, all without elevated intraocular pressures (IOP). After neuro-ophthalmic pathologies were ruled out, the patient was diagnosed with glaucoma associated with sickle cell disease and normal baseline IOP, and brimonidine therapy was initiated. Conclusions and Importance: To our knowledge, this is the first reported case of normal-tension glaucoma in a pediatric patient. Normal-tension glaucoma may be a consideration in the evaluation of pediatric glaucoma suspects, but remains a diagnosis of exclusion.
    URI
    http://hdl.handle.net/10342/8102
    Subject
    Childhood glaucoma; Sickle cell disease; Normal-tension glaucoma; Optic disc cupping; Retinal nerve fiber layer
    Date
    2018-12-14
    Citation:
    APA:
    Hoffman, Brent B., & Rosenfeld, Eldar, & Grajewski, Alana L., & Chang, Ta C.. (December 2018). Glaucomatous optic disc changes despite normal baseline intraocular pressure in a child. American Journal of Ophthalmology Case Reports, (104-109. Retrieved from http://hdl.handle.net/10342/8102

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Hoffman, Brent B., and Rosenfeld, Eldar, and Grajewski, Alana L., and Chang, Ta C.. "Glaucomatous optic disc changes despite normal baseline intraocular pressure in a child". American Journal of Ophthalmology Case Reports. . (104-109.), December 2018. March 04, 2021. http://hdl.handle.net/10342/8102.
    Chicago:
    Hoffman, Brent B. and Rosenfeld, Eldar and Grajewski, Alana L. and Chang, Ta C., "Glaucomatous optic disc changes despite normal baseline intraocular pressure in a child," American Journal of Ophthalmology Case Reports 13, no. (December 2018), http://hdl.handle.net/10342/8102 (accessed March 04, 2021).
    AMA:
    Hoffman, Brent B., Rosenfeld, Eldar, Grajewski, Alana L., Chang, Ta C.. Glaucomatous optic disc changes despite normal baseline intraocular pressure in a child. American Journal of Ophthalmology Case Reports. December 2018; 13() 104-109. http://hdl.handle.net/10342/8102. Accessed March 04, 2021.
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