Progression in Glaucoma


Book Description

Introduction We mark the eighth consecutive year for the World Glaucoma Association Glaucoma Consensus with Consensus VIII. Our topic is the Progression of Glaucoma. Global experts were invited and assembled by our international co-Chairs beginning in January 2011, to participate in the Project Forum E-Room, a unique online opportunity to facilitate discussion of each of the consensus meetings. Participants then were engaged in the discussion of five topical areas to reach consensus on key issues that surround and permeate all aspects of the progression of glaucoma. The results of these thoughtful discussions then were summarized by each of the sections with preliminary consensus statements. The Draft of the Consensus Report, including the preliminary consensus statements, was distributed to the Societies and Partners for review and comments prior to the Consensus Meeting that took place in Paris on Tuesday, June 28, 2011. On this day, relevant stakeholders engaged in a stimulating, educational, and thought-provoking session that highlighted the review and revision of the consensus statements. The Consensus Report then was finalized by Consensus co- Chairs and Editors. Consensus statements were reviewed and finalized by the expert Consensus Panel. Robert N. Weinreb, Editor




Automated Perimetry


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Webvision


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Marijuana As Medicine?


Book Description

Some people suffer from chronic, debilitating disorders for which no conventional treatment brings relief. Can marijuana ease their symptoms? Would it be breaking the law to turn to marijuana as a medication? There are few sources of objective, scientifically sound advice for people in this situation. Most books about marijuana and medicine attempt to promote the views of advocates or opponents. To fill the gap between these extremes, authors Alison Mack and Janet Joy have extracted critical findings from a recent Institute of Medicine study on this important issue, interpreting them for a general audience. Marijuana As Medicine? provides patientsâ€"as well as the people who care for themâ€"with a foundation for making decisions about their own health care. This empowering volume examines several key points, including: Whether marijuana can relieve a variety of symptoms, including pain, muscle spasticity, nausea, and appetite loss. The dangers of smoking marijuana, as well as the effects of its active chemical components on the immune system and on psychological health. The potential use of marijuana-based medications on symptoms of AIDS, cancer, multiple sclerosis, and several other specific disorders, in comparison with existing treatments. Marijuana As Medicine? introduces readers to the active compounds in marijuana. These include the principal ingredient in Marinol, a legal medication. The authors also discuss the prospects for developing other drugs derived from marijuana's active ingredients. In addition to providing an up-to-date review of the science behind the medical marijuana debate, Mack and Joy also answer common questions about the legal status of marijuana, explaining the conflict between state and federal law regarding its medical use. Intended primarily as an aid to patients and caregivers, this book objectively presents critical information so that it can be used to make responsible health care decisions. Marijuana As Medicine? will also be a valuable resource for policymakers, health care providers, patient counselors, medical faculty and studentsâ€"in short, anyone who wants to learn more about this important issue.




Glaucoma: An Open-Window to Neurodegeneration and Neuroprotection


Book Description

Glaucoma is one of the main causes of blindness throughout the world. It is characterized by death of the retinal ganglion cells, which is associated with loss of the axons making up the optic nerve. Recent studies have demonstrated support for the classification of glaucoma as a degenerative disease of the central nervous system (CNS), leading researchers to look at identifying neuroprotection strategies for the treatment of this disease, like those used for other degenerative diseases of the CNS. This book will provide an in-depth examination of the most recent findings regarding glaucoma, including risk factors, diagnosis, clinical monitoring, treatment, and above all, the need for treatment based on the concept of neuroprotection. A large part of the book is devoted to research related to this new approach to the treatment of glaucoma. - Describes the most recent developments on neuroprotection of the optic nerve, including experimental models now used and clinical protocols - Discusses new strategies for the prevention of neuronal injury in glaucoma patients - Focuses on evidence-based risk factors, innovative diagnostic aspects and advanced medical/surgical treatment of glaucoma




Glaucoma Imaging


Book Description

This atlas offers a truly comprehensive update on the use of imaging technologies for the diagnosis and follow-up of glaucoma. In addition to standard automated perimetry, gonioscopy, fundus photography, and stereophotography, other advanced, high-resolution methods for imaging the eye in glaucoma are explained in detail, including ultrasound biomicroscopy, confocal scanning laser ophthalmoscopy, scanning laser polarimetry, and spectral domain optical coherence tomography. The role of the various tests and the keys to optimizing their use in clinical practice are detailed with the aid of high-quality figures in order to enable the reader to achieve the best possible performance when applying these tools. The risk of developing visual disability and blindness as a consequence of glaucoma varies widely among affected individuals. Personalized testing strategies and tailored therapeutic interventions are required to effectively reduce visual impairment due to glaucoma. Glaucoma Imaging will assist residents, researchers, and clinicians in improving their ability to understand and integrate the information obtained using traditional techniques with the reports provided by computer-assisted image instruments.




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




Shape, Contour and Grouping in Computer Vision


Book Description

Computer vision has been successful in several important applications recently. Vision techniques can now be used to build very good models of buildings from pictures quickly and easily, to overlay operation planning data on a neuros- geon’s view of a patient, and to recognise some of the gestures a user makes to a computer. Object recognition remains a very di cult problem, however. The key questions to understand in recognition seem to be: (1) how objects should be represented and (2) how to manage the line of reasoning that stretches from image data to object identity. An important part of the process of recognition { perhaps, almost all of it { involves assembling bits of image information into helpful groups. There is a wide variety of possible criteria by which these groups could be established { a set of edge points that has a symmetry could be one useful group; others might be a collection of pixels shaded in a particular way, or a set of pixels with coherent colour or texture. Discussing this process of grouping requires a detailed understanding of the relationship between what is seen in the image and what is actually out there in the world.




Clinical Trials in Ophthalmology


Book Description

Each chapter in this unique resource summarizes the important findings and recommendations of a major clinical trial. Readers will find the rationale for the study and a description of its primary and secondary outcomes. The patient population is described along with the different arms of treatment undertaken. Treatments are discussed, with tables that summarize how patients meeting various criteria should be treated.




Optical Coherence Tomography in Glaucoma


Book Description

This book focuses on the practical aspects of Optical Coherence Tomography (OCT) in glaucoma diagnostics offering important theoretical information along with many original cases. OCT is a non-invasive imaging technique that acquires high-resolution images of the ocular structures. It enables clinicians to detect glaucoma in the early stages and efficiently monitor the disease. Optical Coherence Tomography in Glaucoma features updated information on technical applications of OCT in glaucoma, reviews recently published literature and provides clinical cases based on Cirrus and Spectralis OCT platforms. In addition, newer techniques like event and trend analyses for progression, macular ganglion cell analysis, and OCT angiography are discussed. This book will serve as a reference for ophthalmologists and optometrists worldwide with a special interest in OCT imaging providing essential guidance on the application of OCT in glaucoma.