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S14 Pediatric glaucoma: Highlights from WGA consensus meeting

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Description

Childhood glaucoma is recognised to be one of the most challenging subspecialities in the field of glaucoma. Its clinical course can be variable as can the approach to treatment, which is primarily surgical and often challenging. Over the years there has been a dramatic improvement in the prognosis of this disease. However, there is still potential for further improvement as we aim to provide a lifetime of vision for these children. Through the WGA Childhood Glaucoma consensus we hope to present a logical approach to looking after children with glaucoma, with this aim in mind. The symposium will present consensus statements regarding the definition of glaucoma in children, a new classification system, genetics, the main types of childhood glaucoma and treatment, both medical and surgical.

Contributors

  • Alana L. Grajewski, M.D.

    Affiliation: Professor; Director, Center for Pediatric Glaucoma, Department of Ophthalmology & Visual Neurosciences, University of Minnesota, School of Medicine, Minneapolis, MN; Voluntary Professor, Co-Director Pediatric Glaucoma Center, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL. Director, The Samuel and Ethel Balkan International Center for Children with Glaucoma, Ophthalmology Research Foundation at the Bascom Palmer Eye Institute

    Areas of Interest: Clinical glaucoma with a special interest in pediatric glaucoma

    Leadership Positions: President and Founder, The GL Foundation for Pediatric & Infantile Glaucoma; Director and Founder, Childhood Glaucoma Research Network (CGRN); Director, The Samuel and Ethel Balkan International Center for Children with Glaucoma, Ophthalmology Research Foundation at the Bascom Palmer Eye Institute; Advisory Board, Robison D. Harley, MD, CGRN, International Pediatric Glaucoma Registry; Co-Chair, Consensus Meeting IX on Childhood Glaucoma, World Glaucoma Association; author of numerous publication; lectures nationally and internationally.

    Honors: Recipient of many awards and honors including Best Doctors in America (1995 - 2013), AAO Honor Award, and Weitzmann Institute of Science, Woman of Vision

  • Maria Papadopoulos MB BS, FRACO

    Affiliation: Ophthalmic Consultant Surgeon, Glaucoma Service, Moorfields Eye Hospital

    Areas of Interest: Adult and paediatric glaucoma.

  • Robert N. Weinreb, MD

    Robert N. Weinreb, MD, is a clinician, surgeon, and scientist. Dr. Weinreb graduated from Harvard Medical School, and is the Distinguished Professor of Ophthalmology and Chairman of the Department of Ophthalmology at the University of California, San Diego. He also holds the Morris Gleich Chair and is Director of both the Shiley Eye Center and the Hamilton Glaucoma Center. Dr. Weinreb’s innovative glaucoma research ranges from the front to the back of the eye and from the clinic to the laboratory. His work has significantly impacted our understanding of the pathophysiology and biology of glaucoma, as well as its diagnosis and management. He has served as resident of the Association for Research in Vision and Ophthalmology (ARVO), President of the World Glaucoma Association (WGA), and President of the American Glaucoma Society. A Founder of the World Glaucoma Association, he also has been the recipient of numerous prestigious prizes and awards. Dr. Weinreb has trained more than 120 post-doctoral Fellows in Glaucoma, many of whom hold distinguished academic positions throughout the world.

  • A. Beck, MD

    Affiliation: Redmond Professor of Ophthalmology, Department of Ophthalmology, Emory University School Medicine, Atlanta, GA, USA

    Areas of Interest: Treatment of pediatric glaucoma

    Leadership Position: Principal investigator (1999-2009) for the Ocular Hypertension Treatment Study (OHTS); Co-investigator and principal investigator for the Interactive Study to Increase Glaucoma Adherence to Treatement (I-SIGHT); Currently acting as the medical monitor for the Infant Aphakia Treatment Study (IATS), which evaluates the outcomes of pediatric cataract surgery with and without intraocular lens implants Published numerous peer-reviewed articles; Organized symposiums and given lectures at national and international meetings on pediatric glaucoma topics; Authored book chapters on pediatric glaucoma and surgical techniques

    Awards/Honors: Clinical Teaching Award, Emory Ophthalmology Residents (1999,2002); American Academy of Ophthalmology Achievement Award (2002); Best Doctors in America/Atlanta Magazine Top Doctors (2009,2010)

  • James Brandt, MD

    Affiliation: Professor of Ophthalmology & Vision Science and Director of the Glaucoma Service at the University of California, Davis, CA, USA

    Areas of Interest: Glaucoma, with a particular focus on infantile and pediatric glaucoma; Research in the material properties of the eye as they affect the measurement of intraocular pressure and in the physiology of outflow resistance; Nanotechnology and biomedical engineering to develop new methods to measure outflow resistance in the living human eye

    Leadership Position: Pamela Firman Professor of Ophthalmology at the Emory University until 1999; Director of the Glaucoma Service, Emory University 1988-1999; Founding Partner, Atlanta Ophthalmology Associates, 1999; Published more than 80 peer-reviewed articles on glaucoma, cataract surgery, and other aspects of eye care. Awarded 10 patents for new instruments to improve glaucoma and cataract surgery and has five other patents pending. Together with his wife, Dr. Mary Lynch, invented the Eyepass, a trabecular bypass device in 1999. They directed four FDA studies on Eyepass. Eyepass was approved for use in Europe in 2005; Chairman, ASCRS Glaucoma Clinical Committee, 2005-2010; Member, ASCRS Glaucoma Clinical Committee, (1997-); EyeWorld, Associate Editor, 2011; Numerous named lectures including the 2011 ASCRS Glaucoma Day Obstbaum Lecture

    Awards/Honors: Honor Award and Senior Achievement Award from the American Academy of Ophthalmology; Selected by his peers to be listed each year in Best Doctors in America; Featured in a separate peer survey in Atlanta Magazine as one of the best ophthalmologists in Atlanta

  • Robyn V. Jamieson MBBS, PhD, FRACP

    Affiliations: Associate Professor Robyn Jamieson, Head Eye Genetics Research, Disciplines of Genetic Medicine and Ophthalmology, University of Sydney, Australia.

    Research Interests: Associate Professor Robyn Jamieson has longstanding interests in the application of animal models and genomic and molecular genetic approaches to understand contributing factors in genetic eye disease. Her research group is using next-generation sequencing strategies, including exome and whole genome sequencing, to identify genetic factors in glaucoma and hereditary eye diseases. Animal models including the zebrafish and the mouse, are used to understand the functions of the disease genes.

    Leadership Positions: Head, Eye Genetics Research, The Children’s Hospital at Westmead, Children’s Medical Research Institute, and Save Sight Institute, University of Sydney, Australia. Lead Clinical Geneticist, Eye Genetics Clinic, The Children’s Hospital at Westmead, and the Westmead Adult Hospital, Sydney, Australia.

    Special Honors: Symposium Organiser, Australian Ophthalmic and Vision Science Meeting, Canberra, Australia, 2011. Plenary Speaker, HUGO’s 16th Human Genome Meeting, Sydney, Australia, 2012. Symposium Speaker, Human Genetics Society of Australasia Annual Scientific Meeting, Queenstown, New Zealand, 2013.

  • Prof. Dr Julian Garcia Feijoo. MD PhD.

    Affiliation: Professor, Division of Ophthalmology and Visual Science, Niigata University, Japan

    Area of Interest: Mechanisms of Glaucomatous Neuropathy, Morphological, Biochemical Changes and Imaging in the Glaucomatous Lamina Cribrosa, Surgical and Medical management for Glaucoma, Correlation between glaucomatous visual field defects and QOL/QOV.

    Leadership Positions; councilor of Japan Glaucoma Society

  • Peng T. Khaw PhD FRCP FRCS FRCOphth CBiol FSBFRCPath FMedSci

    Affiliation: Professor of Glaucoma and Ocular Healing and
    Consultant Ophthalmic Surgeon; Moorfields Eye Hospital and UCL Institute of Ophthalmology UK

    Areas of Interest: Developing new therapies, particularly for preventing scarring and regeneration. He has developed surgical techniques (Moorfields Safer Surgery System) which have improved the safety and outcomes of antimetabolite assisted trabeculectomy, and developed new anti-scarring regimens based on laboratory research leading to large international clinical trials and use. Also drug delivery systems and regenerative therapies using stem cells for optic nerve repair.

    Leadership Positions: Director, UK National Institute for Health Research Biomedical Research Centre in Ophthalmology at Moorfields Eye Hospital and UCL Institute of Ophthalmology; Director, Research and Development, Moorfields Eye Hospital; Programme Director Eyes & Vision, UCL Partners Academic Health Science Centre; Immediate Past President Association for Research into Vision and Ophthalmology (ARVO).

    Special Honors: First international ARVO/Pfizer Ophthalmic Translational Research Award, Alcon Research Institute Award, Sir Stewart Duke Elder Lecture Medal Royal College of Ophthalmologists, 12th Lang Lecture Medal Royal Society of Medicine, 23rd Dame Ida Mann Lecture Oxford University, Gold Medal Saudi Ophthalmological Society, Jubilee Lecture Swedish Medical Society, Hunterian Professorship Royal College Surgeons England, The Times Britain’s Top 100 doctors, Elected to British Academy of Medical Sciences and NIHR Senior Investigator (200 in UK). He has published over 350 papers, chapters and books, and helped raise over £75million for clinical and research facilities.

  • John L Brookes, B.Sc.(Hons), MB BS, FRCOphth

    Affiliation: Consultant Ophthalmic Surgeon, Moorfields Eye Hospital, London. United Kingdom. Honorary consultant, Great Ormond Street Hospital for Children, London. United Kingdon.

    Areas of Interest: Medical and surgical management of childhood glaucoma, especially primary congenital glaucoma and aphakic glaucoma. Principal investigator for research into medical treatments of congenital glaucoma; investigator in visual field assessment in children.

    Leadership Position: Director of clinical glaucoma service at Moorfields Eye Hospital.

  • Elizabeth Hodapp, M.D.

    Affiliation: Voluntary Professor of Ophthalmology, University of Miami School of Medicine, Bascom Palmer Eye Institute

    Area of interest: Pediatric and adult glaucoma, particularly clinical glaucoma

    Leadership positions: Honor Award, American Academy of Ophthalmology, 1994; Director, The GL Foundation for Pediatric Glaucoma, 1998-present; Director, Pediatric Glaucoma Center, Bascom Palmer Eye Institute, 2003-present.

  • Eugenio J. Maul MD

    Affiliation: Department of Ophthalmology, Pontificia Universidad Catolica Medical School, Santiago, Chile.

    Areas of Interest: Developmental Glaucomas, Secondary Glaucomas, Visual Field: Structure and Function Correlations.

    Leadership Positions: Founder and Honorary President Chilean Society of Glaucoma, Past-President Chilean Society of Ophthalmology, Past -President Pan American Glaucoma Society, Past-Member Advisory Group for the Prevention of Blindness WHO. Past-Technical Advisor LCIF-SightFirst Program in 17 Countries of Latin America.

    Special Honors: Visiting Professor Dept. Ophthalmology and Visual Sciences, Yale University. American Journal of Ophthalmology Lecture, XX Pan American Congress of Ophthalmology 1995. Harry Gradle Lecture, XXV Pan American Congress of Ophthalmology 2005. Achievement Award American Academy of Ophthalmology.2008. Member International Meetings Committee American Academy of Ophthalmology 2013.

  • John Grigg MBBS (QLD) MD (SYD) FRANZCO FRACS

    Affiliations: Associate Professor and Head of the Discipline of Ophthalmology, The University of Sydney, Sydney NSW Australia and Consultant Ophthalmologist Sydney Eye Hospital and The Children’s Hospital Westmead. He completed fellowships in glaucoma, and paediatric ophthalmology in both Australia and the United Kingdom.

    Research Interests: Treatment of pediatric glaucoma and investigating the pathogenesis of childhood glaucoma.

    Leadership Positions: Section Editor Paediatric Ophthalmology: Clinical and Experimental Ophthalmology 1997-2008. Chair of the Royal Australian and New Zealand scientific program committee 2009-12. Member Australian and New Zealand Glaucoma interest group board 2008-13.

  • Cecilia Fenerty MD FRCOphth

    A Consultant Ophthalmic Surgeon at Manchester Royal Eye Hospital
    (MREH), UK since 2002, I run a specialist tertiary referral service for complex adult and paediatric glaucoma. I am clinical lead for anterior segment services at MREH and Associate Clinical Director of the Eye Hospital.

    My research interest is mainly clinical, including diagnostic and treatment methods for glaucoma in adults and children. Nationally I have a number of roles with NICE (National Institute for Health and Care Excellence) including membership Glaucoma Guideline Development Group, Glaucoma Quality Standards and Glaucoma Commissioning Group. I am a member of the NICE External Reference Group for Ophthalmology and also participated in the review of NICE Technology Appraisals Guidance. I am a Royal College of Ophthalmologists Expert Advisor to the Medicines and Healthcare Regulatory Authority (MHRA) and member of the Clinical Reference Group for Commissioning of Ophthalmology. In 2011 I Chaired the UK and Eire Glaucoma Society and I am a founder member of the UK Paediatric Glaucoma Society. I have no commercial affiliations or interests.

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