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This is the third glaucoma consensus held under the auspices of the AIGS. It is anticipated that the discussions and conclusions from this consensus will impact care of patients with Angle Closure and Angle Closure Glaucoma significantly. As with the previous consensus meetings on Glaucoma Diagnosis and Open Angle Glaucoma Surgery, the consensus reports were developed over several months in an interactive internet system. The Consensus faculty, consisting of leading authorities on Angle Closure from throughout the world, met in Fort Lauderdale on May 3, 2006 to discuss the reports and refine t.
This book aims to provide the readers with an up-to-date and evidence-based management approach for primary angle closure glaucoma (PACG), which makes effective and safe use of all the interventions currently available. The book presents to the glaucoma subspecialists and the general ophthalmologists a clear and concise introduction to the latest advances in the management of primary angle closure glaucoma (PACG), from the latest imaging technologies to objectively quantify the drainage angle closure and structural glaucomatous progression, to an up-to-date review of the laser and surgical options for treating PACG. The laser and surgical interventions include laser peripheral iridotomy, laser peripheral iridoplasty, lens extraction alone or in combination with other glaucoma surgery, filtration surgery (including minimally-invasive and non-penetrating variants), goniosynechialysis (GSL), glaucoma drainage device implantation, and cyclodestructive procedures. This informative book, written based on the authors’ vast clinical, teaching, and research experience in this field, will offer the readers in-depth and useful resources on PACG.
The Patient's Guide to Glaucoma is a very useful educational resource. The authors have done an excellent job of covering the pertinent aspects of glaucoma from the patient's perspective. It provides more complete explanations of aspects of glaucoma care than any other presently available resource. It will be very helpful to patients who want more information about medications, laser, trabeculectomy, tube-shunt surgery, and many other subjects. John S. Cohen, MD Director, Glaucoma Service Cincinnati Eye Institute, Volunteer Clinical Professor University of Cincinnati Drs. Kwon, Greenlee and Fingert are to be congratulated for creating this outstanding educational program on glaucoma. These materials provide an excellent overview of the disease and its treatment. The guide can be read in its entirety or searched to answer specific questions. It is aimed at the intelligent patient seeking to understand his or her disease. The ophthalmologist's best ally in battling glaucoma is a well-informed patient and this guide will serve to develop patients who truly understand their disease. W.L.M. Alward, MD The Frederick C. Blodi Chair in Ophthalmology, Professor of Ophthalmology, Vice-Chair, Dept of Ophthalmology & Visual Sciences, University of Iowa
Complete evidence-based medical and surgical management of glaucoma for both the general ophthalmologist in practice and residents The only book that covers the new generation of glaucoma procedures including trabectome, trabecular bypass and canaloplasty, by the experts who developed them Includes the latest laser treatments for glaucoma including micro diode and titanium saphire trabeculoplasty as well as laser from an external approach The most comprehensive coverage of the optic nerve and the importance of nerve fiber layer hemorrhage Provides an integrated approach to neovascular glaucoma merging treatment to the retina, with the use of new anti-VEGF drugs, tubes, and shunts to achieve the best outcome Integrates clinical science with basic science to outline the next steps in glaucoma therapy
High-speed anterior segment optical coherence tomography (OCT) offers a non-contact method for high resolution cross-sectional and three-dimensional imaging of the cornea and the anterior segment of the eye. As the first text completely devoted to this topic, Anterior Segment Optical Coherence Tomography comprehensively explains both the scientific principles and the clinical applications of this exciting and advancing technology. Anterior Segment Optical Coherence Tomography enhances surgical planning and postoperative care for a variety of anterior segment applications by expertly explaining how abnormalities in the anterior chamber angle, cornea, iris, and lens can be identified and evaluated using the Visante OCT(TM). Inside Anterior Segment Optical Coherence Tomography, Dr. Roger Steinert and Dr. David Huang, along with 22 of the field's leading professionals, provide a wealth of useful clinical and physiological material about this new diagnostic imaging technique. Valuable images are included to assist in the pre- and postoperative assessment of various anterior segment disorders. Additionally, this unique resource contains detailed information on biometric measurements to enhance diagnostic capability. On the leading edge of anterior segment imaging: - Mapping of corneal thickness and keratoconus evaluation - Measurement of LASIK flap and stromal bed thickness - Visualization and measurement of anterior chamber angle and diagnosis of narrow angle glaucoma - Measuring the dimensions of the anterior chamber and assessing the fit of intraocular lens implants - Visualizing and measuring the results of corneal implants and lamellar procedures - Imaging through corneal opacity to see internal eye structures With the increase in popularity of anterior chamber imaging, and anterior segment OCT proving to be the best tool for high resolution biometry, Anterior Segment Optical Coherence Tomography is a must-have for anterior segment, refractive, cornea, and glaucoma surgeons.
This is the sixth World Glaucoma Association Consensus. The relationship between ocular blood flow and glaucoma has been discussed for more than a century, and still it uniformly fuels debates at glaucoma meetings throughout the world. Clearly, the results of this report will have broad and significant impact on glaucoma research and clinical practice. The global faculty, consisting of leading authorities on the scientific and clinical aspects of ocular blood flow, have met in Fort Lauderdale on May 2, 2009 to discuss the reports and refine the consensus statements.
Glaucoma surgery was the topic of the eleventh World Glaucoma Association Consensus meeting. Glaucoma surgery in primary open-angle glaucoma was also the topic of the second Consensus meeting held in 2005. For the current version, angle closure and angle-closure glaucoma, as well as the secondary glaucomas, were also included. But the expansion of the subject matter is not the only reason for the timing of this new Consensus. Perhaps even more important is the explosion of new surgical ideas and techniques, which are revolutionizing the surgical approach to the glaucoma patient. The idea of targeting anatomic outflow and inflow pathways and individualizing care has opened so many new possibilities for improving surgical outcomes. Furthermore, outcomes are no longer only focused on lowering intraocular pressure, but also on enhancing health- and vision-related quality of life. As with prior meetings, it was a daunting task to seek and obtain consensus on a broad subject matter for which there are so many different opinions. As it is unclear how each of us decides how we practice and the evidence to guide us often is sparse, this consensus — as well as 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 is to provide a foundation for glaucoma surgery 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, always is a high priority. We hope that this consensus report will serve as a benchmark of our understanding of what is known and what we would like to know. However, this Consensus Report is expected to be just a beginning that will be revised and improved with the emergence of new evidence, and new and improved surgical procedures.
This book discusses more than one hundred patients in which visual pathway is involved, and focuses on the role of visual field examination in the diagnosis of these diseases. It also highlights the application of concepts from the new interdiscipline, integration medicine as well as molecular biology and genetics in the analysis of the diseases. In this book, the commonly (typically) noticed changes in the visual field of patients with visual pathway disorders are mainly described in the chapter one titled as “Visual Field-related Anatomy of Visual Pathway” and chapter two titled as “Interpretation of Visual Field Test”, while the majority of the cases presented with "atypical" changes in visual field. At this point, the changes in the visual field could function as either a key to understand the disease, or a question mark which confuses the diagnosis. However, the process of pushing aside a fog around the diagnosis step by step helps the readers to gradually disclose the essence of the disease.