Office Examination of the Glaucoma Patient
Fig. 11.1 Patient using bimatoprost only in the right eye. Periorbital skin changes and hypertrichosis are noted unilaterally (Courtesy of Drs. Tarek Shazly and Mark Latina) Pupils I review the…
Incisional Therapies: Canaloplasty and New Implant Devices
Fig. 27.1 A graph comparing the aqueous flow across the trabecular meshwork and the inner wall of Schlemm’s canal withand without tension on a Prolene suture in the canal (Reprinted…
Incisional Therapies: Trabeculectomy Surgery
Fig. 26.1 Line of incision into anterior chamber (Cairns [2]. With permission from Elsevier) Fig. 26.2 Elevation of the corneoscleral flap (Cairns [2]. With permission from Elsevier) Although Cairns intention…
Primary and Secondary Angle-Closure Glaucomas
Current diagnostic approaches Symptoms based Mechanism based Angle-closure configuration based International Society of Geography and Epidemiology of Ophthalmology (ISGEO) Acute angle-closure Pupillary block Pure pupillary block Primary angle-closure suspect (PACS)…
Primary Open Angle Glaucoma
Study Monocular blindness (%) Bilateral blindness (%) Primarily Caucasian Study [30] 27 9 Temba Glaucoma Study [31] 58 Chen Study [32] 14.6 6.4 In African-Americans, the incidence of glaucoma is…
Complications of Glaucoma Surgery
Fig. 29.1 Low diffuse bleb with large surface area is the goal of glaucoma surgery In this chapter we will review the practical aspects for preventing and managing the complications…
Detecting Functional Changes in the Patient’s Vision: Visual Field Analysis
Fig. 9.1 A schematic representation of the hill of vision for a normal right eye. Sensitivity is plotted as a function of visual field location. The dark oval represents the…
Normal-Tension Glaucoma
Migraine headache and Raynaud’s phenomenon Vasospasm Endothelins C-reactive protein Platelet aggregation, etc. Vascular disease—carotid disease, ASCVD, MI, blood vessel, cholesterol, inflammation Nocturnal hypotension Vascular dysregulation Autoimmunity Shock syndromes/hypotension Anemias Diabetes…
Newer FDA-Approved Incisional Therapies
Fig. 28.1 Glaukos trabecular iStent (Courtesy of Glaukos Corp., Laguna Hills, California) Another technique removes an arc of trabecular meshwork and inner wall of Schlemm’s canal via electro-ablation with simultaneous…
Medications Used to Treat Glaucoma
(5) P.N. Schacknow, MD, PhD Visual Health Center, Palm Springs, FL, USA During the 1970s, 1980s, and 1990s, the Zeitgeist was such that most medical insurance carriers required that…
