Checklist

 GETTING  STARTED/PARENT  CHECKLIST:
Prepared  by  The  Childhood  Glaucoma  Research  Network  (CGRN)  (Rev.  03/12)
Available  at  www.gl-­‐foundation.org

Facing   the   diagnosis   of   childhood   glaucoma   can   be   shocking   and   upsetting,   and   is   filled
with  many  unknowns.  This  checklist  is  organized  to  help  parents:

• PREPARE  to  advocate  for  the  health,  vision,  and  learning  needs  of  your  child,  and  to
• ADOPT  constructive  ways  to  face  the  challenges  of  raising  a  child  with  glaucoma

The   good   news   is   there   are   many   types   of   doctors   and   specialists   that   can   help   you
understand  glaucoma  and  related  issues.    Sometimes  it’s  hard  to  know  who  can  help,  and
what  questions  to  ask.    There  are  resources  in  the  website  to  help  you  to  break  this  down.
The  more  information  you  have,  the  more  capable  you  will  be  to  make  decisions  that  will
have  a  long-­term  impact.

• Through   the   highs   and   lows,   REMEMBER   that   in   today’s   world,   with   attentive
treatment   from   an   experienced   doctor,   many   children   with   glaucoma   do   not   lose
significant  sight  and  your  child  may  function  normally  in  every  way.

STEP  1:    Seek  Care  from  an  Ophthalmologist  that  Specializes  in  Treating  Glaucoma  in
Children  and  Follow-­up  As  Directed  by  the  Physician
(See  “Meet  the  CGRN”  section  of  website  to  learn  about  members  of  the  Childhood  Glaucoma
Research  Network;  also   see  articles   in   the   “After   the  Diagnosis”   section  called   “Choosing  an
Eye  Doctor”  and  “What  to  Expect  at  the  Eye  Doctor’s  Office”)

This  may  be  a  pediatric  ophthalmologist   and/or  a   glaucoma  specialist  who  will   treat   the
glaucoma,   &   manage   the   condition   and   related   issues   (e.g.,   amblyopia)   as   your   child
grows.  Your  ophthalmologist  should  also  perform  tests  to  evaluate  your  child’s  vision.
One  of  the  most  common  causes  of  vision  decrease  in  children  with  glaucoma  is  amblyopia.  You  must
be  under  the  care  of  a  doctor  who  can  check  vision  &  manage  treatment  for  amblyopia  (lazy  eye).

• Childhood  glaucoma  is  a  chronic  condition,  IT  IS  VITAL  TO  FOLLOW-­‐UP  WITH  YOUR
CHILDHOOD  GLAUCOMA  DOCTOR(S)  AS  ADVISED.

• Ask  questions  if  you  don’t  understand  something.
• Don’t   be   afraid   to   change  doctors   or   ask   for   a   second  opinion   if   you   are  unhappy with  the  care  you  are  receiving.

If  your  child  has  low  vision  or  vision  problems  (e.g.  light  sensitivity),  you  should  ask  for  a
referral  to  a  pediatric  low  vision  specialist.    (See  vision  impairment  resources  on  website).

If   you   have   questions   or   concerns   about   insurance   or   financial   issues,   or   if   you   need
assistance  with  transportation  to  a  distant  specialty  care  center,  you  can  ask  for  a  referral
to  a  social  worker  who  can  connect  you  with  supportive  services,  if  needed.    Also  refer  to
the  website  for  articles  related  to  “obstacles  to  care”.

If  your  child  has  co-­‐existing  medical  conditions,  you  will  seek  care  from  other  specialists  as
well.    Be  sure  to  keep  your  child’s  pediatrician  involved,  as  he/she  is  the  “quarterback”  in
making  sure  everything  about  your  child  is  looked  after.

STEP  2:     Learn   as  much   as   you   can   about   childhood   glaucoma   and   related   issues
(such  as  vision  and  development  if  your  child  has  vision  impairment).
(see   “Learn   About   Childhood   Glaucoma”,   &     “After   the   Diagnosis”   sections   on   website.
Another  excellent  website  about  childhood  glaucoma  is  www.pgcfa.org.  Be  sure  to  sign
up  for  their  newsletter.  To  learn  about  Vision  impairment,  see  related  section  on  website.

STEP  3:    Keep  good  records  of  health  care  interventions,  phone  calls,  etc.
(see  “After  the  Diagnosis”  section  of  website  for  helpful  forms  and  tips)
Good  communication  is  vital.    You  are  your  child’s  best  advocate  and  no  one  understands
his/her   needs   better   than   you.   Keeping   a   binder/notebook   that   records   the   history   and
course  over  time  of  your  child’s  eye  care  is  extremely  valuable.

STEP  4:    Seek  Constructive  Ways  to  Cope  with  Stress,  and  Connect  with  Others.
(see  ”After  the  Diagnosis”,    “Everyday  Wisdom”,  “Connect  with  Others”,  &  “My  Story”  sections)
Childhood   glaucoma   is   a   chronic   condition   that   requires   lifelong   care,   and   can   be
overwhelming   at   times   for   parents/families.     Over   time,   families   learn   to   adopt   effective
strategies,  and  find  that  there  are  very  good  resources  available  to  help  with  issues  related  to
managing  medications,   surgery,   vision   problems,   financial   burdens,   and   family   stress.  With
the  right  services  and  support,  children  with  glaucoma,  including  those  with  significant  vision
loss,  lead  very  successful  lives.

One   parent   shared   this   advice:     “Childhood   glaucoma   is   not   a   race,   it’s   a  marathon.     Pace  yourself  –  don’t   look  too  far  down  the  track.    Focus  on  the  now  and  not  on  the  questions  no  one  can  answer.    Celebrate  the  wins,  no  matter  how  small.”

• Acknowledge  your  feelings  (e.g.,  fear,  anxiety,  doubt,  feeling  overwhelmed,  anger)
• Connect   with   others   who   have   a   child   with   glaucoma.   (www.pgcfa.org,

www.congenitalglaucomanetwork.com,  www.glaucoma-­‐foundation.org)
• Rely  on  your  support  system    (e.g.  family,  friends).
• Remember  to  make  time  for  important  family  relationships  (e.g.  marriage,  siblings).

STEP  5:    If  your  Child  has  Vision  Impairment  or  a  Disability,  Learn  the  Law  and  What
Services  are  Available  to  Help  Your  Child.

• Seek   out   Early   Intervention   (Preschool-­‐aged   children)   or   an   Individualized
Education  Plan  (School-­‐aged  children)

(see  ”Success  at  School”  and  “Managing  Vision  Problems”  section  on  website)
Services  available  vary  by  country,  check  with  your  eye  doctor  or  school  to  learn  more.

STEP  6:    Partner  with  Your  Child’s  School  (when  they  reach  that  age)
(See  “Success  at  School”  section  of  website)

• Be   proactive   in   facilitating   communication   between   your   doctors,   teachers,   vision
specialists  (if  any),  and  other  care  providers.

• Help  the  teacher   learn  what  glaucoma  is,  and  any  issues  they  need  to  be  aware  of.
(see  “Teacher  Meeting  Guide”    on  the  website)

• If   there  are  any  vision  challenges,  help   the   teacher  get   to  know  ways   to  help  your
child  use  his/her  vision  effectively.

• Trust  your  instincts,  and  speak  up  if  you  feel  your  child  needs  more  help.