Clinical Pathways in Glaucoma


Book Description

Practical, step-wise approach to diagnosis and treatment of crucial glaucoma cases... With the goal of simplifying the diagnosis and treatment process, Drs. Zimmerman and Kooner introduce Clinical Pathways in Glaucoma. This new decision-making guide offers 22 chapters on topics ranging from childhood and neovascular glaucoma to drug-induced glaucoma and management of glaucoma in pregnancy. Each chapter is consistently laid out in the same organized format: Definition, Epidemiology and Importance, Diagnosis and Differential Diagnosis, Treatment and Management, and Future Considerations. Beneath each heading, a series of questions are posed, each followed by an answer and explanation, making it easy to quickly pinpoint the information you are looking for. Accompanied by step-by-step algorithms, cross-references, and dozens of drawings, charts and tables, Clinical Pathways in Glaucoma is a complete reference for specialists at all levels. This practical, clinically oriented text is designed for everyday use by ophthalmologists, glaucoma specialists, and residents. For easy- to-use, comprehensive information on today's challenging cases, it is ideal.




Webvision


Book Description




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.




Making Eye Health a Population Health Imperative


Book Description

The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.




Guidelines on Design and Reporting of Glaucoma Surgical Trials


Book Description

It is evident that in the last couple of years there has been a surge of interest in research in the fi eld of glaucoma surgery. This includes research in the improvement of conventional glaucoma surgery; trabeculectomy, and glaucoma drainage devices, as well as research in more recently introduced surgical methods and their emplacement in our range of surgical therapeutic options. Modulation of wound healing, a factor of paramount importance, has also received its share of research interest. More recently, research has embarked on identifying different surgical approaches and alternative surg ...




Clinical Pathways in Neuro-Ophthalmology


Book Description

A comprehensive overview on the management of clinically important neuro-ophthalmic disorders It is paramount for clinicians to understand the distinguishing signs and symptoms among many different local and systemic neuro-ophthalmic disorders in order to provide the most efficacious evaluations and treatments. Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach, Third Edition reflects the authors' extensive training and experience in the field of neuro-ophthalmology, as well as updates in the field. Stacy Smith, Andrew Lee, Paul Brazis, and an impressive group of contributors have written an unsurpassed learning tool on how to manage patients with known or presumed neuro-ophthalmologic conditions, in the most logical, straightforward, and cost-effective manner. The authors share significant clinical pearls and knowledge throughout 20 chapters. The book lays a solid foundation on the management of neurologic eye disorders including symptoms, ophthalmologic testing, diagnosis, and treatment. Among the discussed disorders are anterior and retrobulbar optic neuropathies, disorders of ocular motility and alignment, lid abnormalities, and anisocoria. Insights are provided on key topics including the use of office examinations, laboratory tests, and neuroimaging studies to make an ophthalmologic diagnosis; and ophthalmologic therapy to treat eye movement disorders such as nystagmus. Key Highlights Unique graphic algorithms help clinicians differentiate conditions with frequently overlapping clinical manifestations The evaluation and treatment of various neuro-ophthalmologic processes, stratified by four classes of evidence and four levels of clinical recommendation A basic set of references for each subject enables readers to expand knowledge High quality four-color clinical images enhance learning This book is essential reading for neuro-ophthalmologists, ophthalmologists, neurologists, and residents and fellows in these fields of medicine.




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




Clinical Pathways in Glaucoma


Book Description

Practical, step-wise approach to diagnosis and treatment of crucial glaucoma cases... With the goal of simplifying the diagnosis and treatment process, Drs. Zimmerman and Kooner introduce Clinical Pathways in Glaucoma. This new decision-making guide offers 22 chapters on topics ranging from childhood and neovascular glaucoma to drug-induced glaucoma and management of glaucoma in pregnancy. Each chapter is consistently laid out in the same organized format: Definition, Epidemiology and Importance, Diagnosis and Differential Diagnosis, Treatment and Management, and Future Considerations. Beneath each heading, a series of questions are posed, each followed by an answer and explanation, making it easy to quickly pinpoint the information you are looking for. Accompanied by step-by-step algorithms, cross-references, and dozens of drawings, charts and tables, Clinical Pathways in Glaucoma is a complete reference for specialists at all levels. This practical, clinically oriented text is designed for everyday use by ophthalmologists, glaucoma specialists, and residents. For easy- to-use, comprehensive information on today's challenging cases, it is ideal.




Therapeutic Uses of Cannabis


Book Description

At the last Annual Representative Meeting of the British Medical Association a motion was passed that `certain additional cannabinoids should be legalized for wider medicinal use.'' This report supports this landmark statement by reviewing the scientific evidence for the therapeutic use of cannabinoids and sets the agenda for change. It will be welcomed by those who believe that cannabinoids can be used in medical treatment. The report discusses in a clear and readable form the use and adverse effects of the drug for nausea, multiple sclerosis, pain, epilepsy, glaucoma, and asthma.