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Surgery of the Anterior Chamber Angle and Iris In this chapter, we consider the laser and incisional operations that are designed to reduce the intraocular pressure (IOP) through increased aqueous…

Cyclodestructive Surgery The operations discussed in the preceding chapters lower the intraocular pressure (IOP) by improving the rate of aqueous outflow. This is clearly preferred from a physiologic standpoint, in…

Pigmentary and Other Glaucomas Associated with Disorders of the Iris and Ciliary Body IRIS OR CILIARY BODY DISORDERS WITH ASSOCIATED GLAUCOMA There are several conditions in which a disorder of…

Childhood Glaucomas: Classification and Examination Childhood glaucomas constitute a rare, heterogeneous group of diseases. Often vision-threatening, these diseases present special challenges in diagnosis and optimal management. Parents and primary care…

Glaucomas Associated with Intraocular Tumors A variety of intraocular tumors and tumor-like ocular disorders can give rise to glaucoma (Table 21.1) (1). In one survey of 2597 patients with intraocular…

Principles of Medical Therapy and Management This chapter covers the management of the patient with glaucoma using an evidence-based approach. The following factors will be considered: (a) making an accurate…

Glaucomas Associated with Disorders of the Lens Several disorders of the crystalline lens are associated with various forms of glaucoma. In some cases, such as the exfoliation syndrome (see Chapter…

Cellular and Molecular Biology of Aqueous Humor Dynamics The study of glaucoma deals with factors involved in the pathophysiology of progressive optic neuropathy characterized by “cupping” of the optic disc….

Pupillary Block Glaucomas TERMINOLOGY Primary versus Secondary Angle-Closure Glaucomas Angle closure is characterized by apposition of the peripheral iris against the trabecular meshwork, resulting in obstruction of aqueous outflow (see…

Gonioscopy and Other Techniques for Assessing the Anterior Segment Assessment of the anatomy of the anterior chamber angle by gonioscopy is an essential part of the glaucoma evaluation. The drainage…