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. Eleven 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.

中文翻译：

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小儿青光眼在苏格兰。

背景技术的主要目的是估计两年内苏格兰原发性和继发性青光眼的发生率。第二个目的是评估苏格兰眼科医生在管理这些患者方面的信心和经验。方法向苏格兰小儿科俱乐部和苏格兰青光眼俱乐部的所有顾问成员分发了7个问题的电子调查。要求受访者报告在过去两年中他们处理的儿童青光眼的病例数和类型。还询问了受访者关于一系列青光眼手术的经验和信心，需要转诊至专科中心的患者数量以及对苏格兰卓越中心发展的兴趣。结果这项调查的回应率为56％，报告在过去的两年中，苏格兰有85例小儿青光眼新病例。原发性青光眼11例（12.9％），继发性青光眼74例（87.1％）。继发性青光眼最常见的亚型是葡萄膜性青光眼（n = 29）。没有一个受访者对小梁切开术或淋巴切开术过程表示信心或经验。11名儿童需要转诊到苏格兰以外的专科病房。85.7％的受访者认为苏格兰将从小儿青光眼专科部门中受益。结论该调查反映了对苏格兰小儿青光眼的专科服务的需求。但是，需要进一步考虑以确定是否有足够的患者负担来维持这种服务。继发性青光眼最常见的亚型是葡萄膜性青光眼（n = 29）。没有一个受访者对小梁切开术或淋巴切开术过程表示信心或经验。11名儿童需要转诊到苏格兰以外的专科病房。85.7％的受访者认为苏格兰将从小儿青光眼专科部门中受益。结论该调查反映了对苏格兰小儿青光眼的专科服务的需求。但是，需要进一步考虑以确定是否有足够的患者负担来维持这种服务。继发性青光眼最常见的亚型是葡萄膜性青光眼（n = 29）。没有一个受访者对小梁切开术或淋巴切开术过程表示信心或经验。11名儿童需要转诊到苏格兰以外的专科病房。85.7％的受访者认为苏格兰将从小儿青光眼专科部门中受益。结论该调查反映了对苏格兰小儿青光眼的专科服务的需求。但是，需要进一步考虑以确定是否有足够的患者负担来维持这种服务。7％的受访者认为苏格兰将从小儿青光眼专科部门中受益。结论该调查反映了对苏格兰小儿青光眼的专科服务的需求。但是，需要进一步考虑以确定是否有足够的患者负担来维持这种服务。7％的受访者认为苏格兰将从小儿青光眼专科部门中受益。结论该调查反映了对苏格兰小儿青光眼的专科服务的需求。但是，需要进一步考虑以确定是否有足够的患者负荷来维持这种服务。