8 yr old with optic nerve cupping without pressure and also strabismus

[jaydenluv]

I need to know if my daughter will have glaucoma. She has optic nerve cupping but without pressure.She also had strabismus  surgery when she was 2. I am freaking out. Her opthamologist is going to do another test to check for glaucoma. She's only 8. He said it could be genetic's but how come he didn't see that when she had the strabismus surgery?

[John C Hagan III, MD, FACS, FAAO]

Most children with accommodative esotrophia are farsighted which is a smaller than normal eye and causes the optic nerve to be more elevated than normal or myopic eyes. So its likely its due to that and not glaucoma but discuss with your eye MD ophthalmologist.

JCJ MD

[tgh39]

My daughter is 8 and diagnosed with accomodative esotropia also optic nevre elevation vs physiological cupping.  Is this child glaucoma?

[John C Hagan III, MD, FACS, FAAO]

You need to discuss this in more detail with your ophthalmologist. Juvenile glaucoma is uncommon. It could just be that she has a large physiological cup / disk ratio. Make a list of your questions for your next visit. There is no test that can absolutely tell if people will develop glaucoma in the future.

JCH MD