Kids with big optic cups make me leery. They always have. I will say that, like most ODs, I have seen far more cases of pediatric physiologic cupping than I have of pediatric glaucoma.
When your pediatric patient presents with irritated, itchy eyelids with reddened lid margins, diagnosing blepharitis may be the easy part of patient care. Implementing a treatment regimen for patients who are infants, toddlers, or school-age children, requires optometrists to use not only their knowledge but their clinical art of practice as well.