2. Properly classify the type of glaucoma
3. Identify any primary aetiologies
4. Set a baseline for future comparison
5. Document findings necessary to develop a
6. Monitor the effects of treatment
5. • The whole child should be examined for signs
1. Orbital changes
2. Skin (neurofibromatosis, Sturge-Weber)
3. Other organ involvement indicating disease
associated with the glaucoma.
6. Anathesia IOP
• General anesthetics are known to have a potent effect
on IOP on both normal and glaucomatous eyes.
• Virtually all of the inhalational anesthetics are known
to depress the IOP within minutes of administration.
• Ketamine HCl slowly elevates the IOP as deeper
anesthesia is attained.
• The benzodiazepines do not appear to have a
significant effect on IOP when used in preoperative
7. So , what will happen..?
• Midazolam HCl (Versed) is often used as a
preoperative sedative in children, and in many
cases the child is sufficiently sedated with this
medication to perform quick IOP measurement
before the administration of an inhalational general
• Such a measurement, with the child resting
comfortably but not under the influence of the
potent inhalational anesthetics, is probably the
8. Highly agitated ...... 🤔
• The anesthesiologist should be aware that it is
preferable for the surgeon to measure the IOP as
early as possible during the induction of general