title: Pediatric glaucoma suspects.
abstract: OBJECTIVE
  To report demographic and ocular features of pediatric glaucoma suspects in an ethnically diverse population of North Central Texas.
  
  
  METHODS
  Retrospective cross-sectional chart review.
  
  
  METHODS
  Subjects included 75 (136 eyes) pediatric glaucoma suspects. Patients with one or more of the following risk factors were included: cup-to disc (C/D) ratio of ≥0.6; intraocular pressure (IOP) ≥21 mmHg; family history of glaucoma; congenital glaucoma in the opposite eye; history of blunt trauma to either eye; and presence of either Sturge-Weber or Axenfeld-Rieger syndrome, or oculodermal melanocytosis.
  
  
  METHODS
  Data were extracted from electronic patient medical records. Patient records with incomplete data were excluded. The main outcome measures were race, sex, age, IOP, C/D, family history of glaucoma; and glaucoma treatment.
  
  
  RESULTS
  Subjects included 28 (37.3%) Hispanics, 20 (26.6%) African Americans, 20 (26.6%) Caucasians, and seven (9.3%) Asians. Forty (53.3%) of the patients were male. Suspicious optic disc was seen in 57 (76%); elevated IOP in 25 (33.3%); presence of family history in 13 (17.3%), and Sturge-Weber syndrome in nine (12%) patients. The average C/D ratio was 0.58±0.2. The C/D ratios of African American (0.65±0.2), Hispanic (0.63±0.2), and Asian (0.62±0.15) patients were significantly greater than those of Caucasians (0.43±0.18; P=0.0004, 0.0003, and 0.0139, respectively). Caucasian patients were the youngest (7.9±4.8 years). Eleven cases (14.7%) required medication.
  
  
  CONCLUSIONS
  Thirty-three point seven percent of patients seen in the glaucoma clinic were glaucoma suspects. The most common risk factors for suspected glaucoma were suspicious optic discs, elevated IOP, and family history of glaucoma. Most patients required only close observation. Long-term follow-up of these patients is warranted to determine the mechanisms of conversion to glaucoma.
authors: Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Karanjit
authors: K
authors: Kooner
authors: Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Matthew
authors: M
authors: Harrison
authors: Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Zohra
authors: Z
authors: Prasla
authors: Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Mohannad
authors: M
authors: Albdour
authors: Department of Clinical Sciences, Division of Biostatistics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Beverley
authors: B
authors: Adams-Huet
keywords: childhood glaucoma suspects; intraocular pressure; suspicious optic disc