My 8 year old daughter just left the eye doctor and he said her pressures were slightly elevated to 22 & 24 and last year was also slightly elevated to 20 & 21. Do I need to be concerned?
The answer to your question is not a straightforward one, because whether or not you should be concerned depends upon several important factors, which you would need to ask of your eye doctor. They are as follows (note that the word "you" refers to the eye doctor in the following list):
So, to sum up, there are questions that you might want to ask your eye doctor, to determine whether you and he/she should worry about these slightly elevated eye pressures. Most important of all is to monitor them over time, perhaps more often than annually, if there are any features to suggest that there may be possible concern that your daughter is a "glaucoma suspect". Additionally, taking a photograph of the optic nerves is not a bad idea, just as a baseline, and you might wish to ask this of your eye care provider, to see what he/she thinks about that.
Sharon F. Freedman MD
Professor of Ophthalmology and Pediatrics Chief
Scientific Advisory Board