Background The primary aim was to estimate the incidence of primary and secondary childhood glaucoma in Scotland over a 2-year period. The secondary aim was to gauge the confidence and experience of ophthalmologists in Scotland in managing these patients. Methods A 7 question electronic survey was distributed to all consultant members of the Scottish Paediatric Club and Scottish Glaucoma Club. Respondents were asked to report the number of cases and types of childhood glaucoma they had managed in the last 2 years. Respondents were also asked about experience and confidence in a range of glaucoma procedures, number of patients requiring referral to specialist centres and interest in the development of a centre of excellence in Scotland. Results The survey returned a 56% response rate, reporting 85 new cases of paediatric glaucoma in Scotland over the preceding 2 years. 11 (12.9%) had primary glaucoma and 74 (87.1%) had secondary glaucoma. The most common subtype of secondary glaucoma was uveitic glaucoma (n=29). None of the respondents declared confidence or experience in trabeculotomy or goniotomy procedures. 11 children required referral to a specialist unit outside Scotland. 85.7% of respondents felt Scotland would benefit from a specialist unit for paediatric glaucoma. Conclusions This survey reflects an appetite for a specialist service for paediatric glaucoma in Scotland. However, further consideration is needed to determine if there is sufficient patient load to maintain such a service.

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Posted 18 Dec, 2019
On 14 Feb, 2020
On 19 Jan, 2020
Received 19 Jan, 2020
Invitations sent on 17 Jan, 2020
On 17 Jan, 2020
Received 17 Jan, 2020
On 16 Dec, 2019
On 15 Dec, 2019
On 15 Dec, 2019
On 12 Dec, 2019
Received 02 Dec, 2019
On 23 Nov, 2019
Received 04 Oct, 2019
On 25 Sep, 2019
On 22 Sep, 2019
Invitations sent on 22 Sep, 2019
On 21 Sep, 2019
On 16 Sep, 2019
Posted 18 Dec, 2019
On 14 Feb, 2020
On 19 Jan, 2020
Received 19 Jan, 2020
Invitations sent on 17 Jan, 2020
On 17 Jan, 2020
Received 17 Jan, 2020
On 16 Dec, 2019
On 15 Dec, 2019
On 15 Dec, 2019
On 12 Dec, 2019
Received 02 Dec, 2019
On 23 Nov, 2019
Received 04 Oct, 2019
On 25 Sep, 2019
On 22 Sep, 2019
Invitations sent on 22 Sep, 2019
On 21 Sep, 2019
On 16 Sep, 2019
Background The primary aim was to estimate the incidence of primary and secondary childhood glaucoma in Scotland over a 2-year period. The secondary aim was to gauge the confidence and experience of ophthalmologists in Scotland in managing these patients. Methods A 7 question electronic survey was distributed to all consultant members of the Scottish Paediatric Club and Scottish Glaucoma Club. Respondents were asked to report the number of cases and types of childhood glaucoma they had managed in the last 2 years. Respondents were also asked about experience and confidence in a range of glaucoma procedures, number of patients requiring referral to specialist centres and interest in the development of a centre of excellence in Scotland. Results The survey returned a 56% response rate, reporting 85 new cases of paediatric glaucoma in Scotland over the preceding 2 years. 11 (12.9%) had primary glaucoma and 74 (87.1%) had secondary glaucoma. The most common subtype of secondary glaucoma was uveitic glaucoma (n=29). None of the respondents declared confidence or experience in trabeculotomy or goniotomy procedures. 11 children required referral to a specialist unit outside Scotland. 85.7% of respondents felt Scotland would benefit from a specialist unit for paediatric glaucoma. Conclusions This survey reflects an appetite for a specialist service for paediatric glaucoma in Scotland. However, further consideration is needed to determine if there is sufficient patient load to maintain such a service.

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Figure 3
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