Finding a Creative Way to Manage a Child's Glaucoma
Since infancy, a male child with Axenfeld-Rieger syndrome–associated glaucoma had been under the care of Sharon Freedman, MD, a pediatric ophthalmologist at the Duke Eye Center.
Initially, his glaucoma responded well to medication, but, by the time he was 4 years of age, his intraocular eye pressure (IOP) was slowly increasing, and his optic nerves exhibited anatomic changes characteristic of glaucomatous optic neuropathy. The high variability of his IOP measurements Freedman obtained in the clinic compounded her difficulty assessing his need for glaucoma surgery.
Question: How did Freedman make it more convenient for the child’s parents to help her monitor and manage glaucoma in this patient?