Pearls of Glaucoma Management


Book Description

If you have ever uttered the commonly expressed lament, “Glaucoma is so confusing!” then this text is for you. You will no longer be bewildered. Why practitioners may be confused about how to be of help to patients with glaucoma – in its many incarnations and reincarnations – is easily understood. The issue seems to be overwhelming when one considers that the already massive popu- tion of those with glaucoma is increasing rapidly as the world’s population increases and ages. During the past 50 years the fundamental defnition of glaucoma has changed almost 180°, and the indications for treatment have become more variable and c- troversial, some advising early therapy and others strongly cautioning against such an approach: Various diagnostic tests have come and gone and are interpreted in such different ways that there seems to be no consensus; surgical techniques come in and out of fashion in perplexing ways. There seems to be a constantly shifting, sandy foundation on which are built unsteady schools of ever-varying advice. Why prac- tioners, patients, and the public are often bewildered is understandable.




Pearls of Glaucoma Management


Book Description

This concise and comprehensive guide is written by international experts of the field who are familiar with the world’s literature. Based on the world’s literature and their own experience, authors state and explain how they prefer to manage patients and problems clinically. Each chapter author gives the reader numerous clear and specific tips and pearls for the diagnosis and management of Glaucoma. The reader-friendly structure of this book ensures that the necessary information is quickly found and remembered. This book ensures a pleasant learning experience on Glaucoma management with the goal of an improved treatment outcome.




Glaucoma


Book Description

Recent dramatic advances in diagnosis, as well as medical and surgical treatment, mean that you can offer your glaucoma patients more timely and effective interventions. This brand-new clinical reference delivers the comprehensive, expert guidance you need to make optimal use of these new approaches.online, in print, and on video on DVD Get in-depth guidance on all aspects of adult and pediatric glaucoma with one volume devoted to diagnosis and medical treatment, and another that focuses on surgical techniques.




The Pocket Guide to Glaucoma


Book Description

The Pocket Guide to Glaucoma provides essential information on glaucoma for medical students, residents, fellows, and general ophthalmologists. Drs. Joseph F. Panarelli, Davinder Grover, Arsham Sheybani, and colleagues have designed this book as the ultimate quick-read manual on glaucoma, using a conversational tone that allows readers to retain information in the most effective manner. Medical students, residents, and fellows can use this accessible, high-yield handbook during their rotations to familiarize themselves with the essentials on glaucoma, while general ophthalmologists will be glad to have it as a quick reference guide to current best practices. Each chapter in The Pocket Guide to Glaucoma is arranged in short, easy-to-read sections and is accompanied by numerous color photographs to aid in recognition and retention. Among the topics covered: Optic nerve head imaging Laser procedures for glaucoma Medical therapy for glaucoma Microinvasive glaucoma surgery Traditional glaucoma surgery: pearls and pitfalls Landmark glaucoma trials Eye care providers at all skill levels will benefit from the high-yield, quick-access information contained in The Pocket Guide to Glaucoma, whether they are preparing for their first surgeries or are longtime physicians.




Minimally Invasive Glaucoma Surgery


Book Description

The book is provided open access under a CC BY 4.0 license. This book covers all aspects of minimally invasive glaucoma surgery (MIGS) and provides detailed information on each MIGS device, including its mechanism of action; patient selection; implantation techniques; post-operative management; and a review of the existing literature. Step-by-step descriptions are provided for the surgical technique used in implanting each MIGS device, accompanied by clear photographs of each surgical stage. Other areas covered include intra-operative gonioscopy (with tips on optimising the view of the anterior chamber angle) and the management of the intra-operative and post-operative complications. Essential information on the anatomy and physiology of the different aqueous outflow pathways is also included. A separate chapter addresses the introduction of MIGS globally, including the consideration of different reimbursement environments and the different types of glaucoma, e.g. angle closure glaucoma. This book will assist both glaucoma surgeons and general ophthalmologists in overcoming the learning curve involved in performed MIGS, by providing valuable and practical clinical pearls.




Curbside Consultation in Glaucoma


Book Description

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional glaucoma references? Are you seeking brief, evidence-based advice for common clinical dilemmas? Curbside Consultation in Glaucoma: 49 Clinical Questions provides quick and direct answers to the thorny questions most commonly posed during a "curbside consultation" between glaucoma specialists. Dr. Dale K. Heuer, and associate editors Dr. Steven J. Gedde and Dr. Richard Lewis, have designed this unique reference in which top glaucoma specialists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with the day-to-day diagnosis and care of glaucoma patients. The unique Q&A format provides quick access to current information related to glaucoma with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate glaucoma pearls. Curbside Consultation in Glaucoma: 49 Clinical Questions provides information basic enough for residents while also incorporating expert pearls that even high-volume glaucoma specialists will appreciate. General practitioners, residents, fellows, and optometrists alike will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: - Which imagining device should I use in my practice? - How should I set a target intraocular pressure? - What is "maximum medical therapy" for glaucoma now? - Which glaucoma medications may be used safely during pregnancy? In children? - Is selective laser trabeculoplasty better than argon or diode laser trabeculoplasty? - Which of the new incisional surgical alternatives to trabeculectomy should I consider for my patients? In what clinical settings should I consider them? - In which patients with glaucoma and cataract should I perform a combined procedure? Cataract surgery alone? Trabeculectomy first?




Glaucoma Medical Therapy


Book Description




Glaucoma Surgery


Book Description

Renowned experts present the latest knowledge in ... In this volume of Developments in Ophthalmology, a panel of renowned glaucoma surgeons reports its findings and the updated evidence-based literature data on indications, outcomes, pearls and pitfalls of techniques in which they all have an undisputable 'hands-on' everyday experience. The publication begins with chapters on conventional procedures, i.e. trabeculectomy (still the gold standard), deep sclerectomy, and glaucoma drainage device implantation explicitly focusing on postoperative management. The role of the ocular surface in glaucoma surgery and the issue of wound healing and its modulation through antimetabolites are further discussed. In the second part, the attention shifts to new techniques which still have a marginal role, but are promising for particular indications. In the last part, the greatest challenges of glaucoma surgery such as the surgical approach to angle closure, concomitant glaucoma and cataract as well as pediatric glaucoma are discussed in detail. Finally, the last chapter is dedicated to cyclodestructive techniques. This volume is recommended to glaucoma surgeons and glaucoma specialists seeking information on the best therapy for their patients, but also to general ophthalmologists who refer their patients for surgery or follow them up afterwards.




Optical Coherence Tomography in Glaucoma


Book Description

A comprehensive and user-friendly guide on leveraging OCT for the management of glaucoma Optical coherence tomography (OCT) is a noninvasive diagnostic imaging modality that enables ophthalmologists to visualize different layers of the optic nerve and retinal nerve fiber layer (RNFL) with astounding detail. Today, OCT is an instrumental tool for screening, diagnosing, and tracking the progression of glaucoma in patients. Optical Coherence Tomography in Glaucoma by renowned glaucoma specialist Jullia A. Rosdahl and esteemed contributors is a one-stop, unique resource that summarizes the clinical utility of this imaging technology, from basics to advanced analyses. The book features 14 chapters, starting with introductory chapters that discuss development of OCT and its applications for visualizing the optic nerve and macula. In chapter 5, case studies illustrate OCT imaging of the optic nerve, RNFL, and macula in all stages of glaucoma, from patients at risk to those with mild, moderate, and severe diseases. The next chapters cover the intrinsic relationship between optic nerve structure and function, the use of structure–function maps, and examples of their relationship, followed by a comparison of commonly used devices and a chapter on artifacts. Anterior segment OCT is covered next, followed by chapters covering special considerations in pediatric glaucomas and in patients with high refractive errors. The final chapters cover innovations in OCT on the horizon including OCT angiography, swept-source OCT, and artificial intelligence. Key Highlights Illustrative case examples provide firsthand clinical insights on how OCT can be leveraged to inform glaucoma treatment. In-depth guidance on recognizing and managing artifacts including case examples and key technical steps to help prevent their occurrence. Pearls on the use of OCT for less common patient scenarios such as pediatric glaucomas and high refractive errors. Future OCT directions including angiography, swept-source, and the use of artificial intelligence. This practical resource is essential reading for ophthalmology trainees and ophthalmologists new to using OCT for glaucoma. The pearls, examples, and novel topics in this book will also help experienced clinicians deepen their knowledge and increase confidence using OCT in daily practice.




Childhood Glaucoma


Book Description

Preface Childhood is the topic of the ninth World Glaucoma Association Consensus. There has been only sparse attention to the diagnosis and treatment of childhood glaucoma. Both pediatric ophthalmologists and glaucoma specialists provide care for such children. In some instances, they manage these individuals alone and, in others, the management is shared. For this consensus, the participation of both groups was solicited. The global faculty, consisting of leading authorities on the clinical and scientific aspects of childhood glaucoma, met in Vancouver on July 16, 2013, just prior to the World Glaucoma Congress, to discuss the reports and refine the consensus statements. As with prior meetings, it was a daunting task to seek and obtain consensus on such a complicated and nuanced subject. It is unclear how each of us decides how we practice, and evidence to guide us often is sparse. It is remarkable how few high level studies have been conducted on the management of childhood glaucoma. Hence, this consensus, as with the others, is based not only on the published literature, but also on expert opinion. Although consensus does not replace and is not a surrogate for scientific investigation, it does provide considerable value, especially when the desired evidence is lacking. The goal of this consensus was to provide a foundation for diagnosing and treating childhood glaucoma and how it can be best done in clinical practice. Identification of those areas for which we have little evidence and, therefore, the need for additional research also was a high priority. We hope that this consensus report will serve as a benchmark of our understanding. However, this consensus report, as with each of the others, is intended to be just a beginning. It is expected that it will be revised and improved with the emergence of new evidence. Robert N. Weinreb, Chair