How to think like a professional ophthalmologist not like a machine

✍ let’s take it simply

• in pediatric glaucoma the problem is aqueous drainage problem due to angle anomaly or underdeveloped trabecular and uveoscleral pathways ( immature or even deformed) in which it’s impossible to overcome unless by surgery or shunt 
• the only available possibility of temporary medical treatment is dependent upon reduction of aqueous production through aqueous suppressor ( beta blockers and CAIs ) with the lowest effective doses and frequency with meticulous monitoring of drug side effects… ( this is the logically acceptable way of thinking and management of debatable diseases)

✍ The main problem underlying the pathogenesis of pediatric glaucoma is abnormally developed angle and trabecular and uveoscleral pathways … so what do u expect if u use drugs working basically on non-working mechanisms 

✍ the same like changing oil for ur dead engine car ) why u expect the car to work , Sure it’s not logic.

✍ my medical posts concerning my own stepwise medical approaches for managing a disease and respecting major recent guidelines papered in international textbooks and journals on the basis of respecting the basic science and pathophysiology of any disease of concern 

✍ my main concern in my post is to provide u my own protocol ( evidence based) rather than convincing or even humiliate ur opinion or protocol.