By American Academy of Ophthalmology, George A. Cioffi MD
Presents a finished dialogue of glaucoma, together with epidemiology and the social and monetary affects of the disorder; hereditary and genetic elements; intraocular strain and aqueous humor dynamics; and medical review and surgical remedy. some of the periods of clinical remedy for glaucoma are defined by way of efficacy, mechanism of motion and safeguard. comprises a variety of photographs illustrating ailment entities and surgical techniques.
Upon final touch of part 10, readers may be capable to:
Identify the epidemiologic good points of glaucoma, together with the social and fiscal affects of the disease
Describe the medical evaluate of the glaucoma sufferer, together with heritage and basic exam, gonioscopy, optic nerve exam, and visible field
Describe the scientific gains, assessment, and therapy of fundamental open-angle glaucoma and normal-tension glaucoma
List a few of the medical gains of and healing techniques for the first and secondary open-angle glaucomas
Read Online or Download 2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma PDF
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Additional info for 2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma
Cornea Enlargement of the cornea associated with breaks in the Descemet membrane (Haab striae) is commonly found in developmental glaucoma patients. Glaucomas associated with other anterior segment anomalies are described in the following discussions. Punctate epithelial defects, especially in the inferonasal interpalpebral region, are often indicative of medication toxicity. Microcystic epithelial edema is commonly associated with elevated IOP, particularly when the IOP rise is acute. The following corneal endothelial abnormalities can be important clues to underlying associated secondary glaucoma: • • • • • Krukenberg spindle in pigmentary glaucoma deposition of exfoliative material in exfoliation syndrome keratic precipitates in uveitic glaucoma irregular and vesicular lesions in posterior polymorphous dystrophy a "beaten bronze" appearance in the iridocorneal endothelial syndrome 30 • Glaucoma .
The saline acts as an optical coupler between the 2 surfaces. The lens provides direct visualization of the chamber angle (ie, light reflected directly from the chamber angle is visualized). With direct gonioscopy lenses, the clinician has an erect view of the angle structures, which is essential when performing goniotomies. Direct gonioscopy is most easily performed with the patient in a supine position, and it is commonly used in the operating room for examining the eyes of infants under anesthesia.
Use of prostaglandin analogues may result in trichiasis, hypertrichosis, distichiasis, and growth of facial hair around the eyes, as well as increased skin pigmentation involving the eyelids. Use of glaucoma hypotensive agents may also result in an allergic contact dermatitis. Chapter 7 discusses these agents in detail. Pupils Pupil size may be affected by glaucoma therapy, and pupillary responses are one measure of compliance in patients who are on miotic therapy. Testing for a relative afferent pupillary defect may detect asymmetric optic nerve damage.
2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma by American Academy of Ophthalmology, George A. Cioffi MD