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This text provides a practical and expert problem-solving approach to the diagnosis and management of the glaucoma patient. The authors place emphasis on an approach to chronic, year-in, year-out care of the glaucoma patient - one of the most challenging management issues of the general ophthalmologists' practice. The first section of the book reviews the differential diagnosis of the patients who present with signs and symptoms suggestive of glaucoma, such as elevated pressure, abnormal optic nerve head, abnormal visual field and abnormal anterior chamber angle. The second section focuses on the chronic management of glaucoma. The authors describe the thought process/clinical decisions used to formulate and monitor treatment. In particular, they describe: how to determine the vigour with which to treat and monitor the individual patient; and how to determine if treatment is adequate and/or successful.
Glaucoma is a condition of the eye in which the optic nerve is damaged due to increased fluid pressure in the eye. Left untreated, the condition may lead to permanent blindness. This book is a guide to the diagnosis and management of glaucoma. Beginning with an overview of the condition and its symptoms, the following chapters cover diagnostic and treatment methods for different causes and types of glaucoma. The text concludes with discussion on surgical management of glaucoma, through both filtration and lasers, and minimally invasive procedures. A complete chapter is dedicated to childhood glaucoma. Edited by internationally recognised specialists from around the world, the book is highly illustrated with clinical images, diagrams and tables. Key concepts are explained with the help of clinical cases. Key points Comprehensive guide to the diagnosis and management of glaucoma Includes discussion on surgical management techniques Clinical cases help explain key concepts Internationally recognised editor and author team
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 ...
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.
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
Primary Open-Angle Glaucoma was the topic of the tenth World Glaucoma Association Consensus meeting. As with prior meetings, it was a daunting task to seek and obtain consensus on broad subject matter that ranges from diagnosis, risk profiling and screening of the disease. 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 diagnosing and managing primary open-angle 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 always is a high priority. We hope that this consensus report will serve as a benchmark of our understanding. However, this consensus report is intended to be fluid. It is expected that it will be revised and improved with the emergence of new evidence.
Clinical Scenarios in Surgery: Decision Making and Operative Technique presents 125 cases in all areas of general surgery: GI, breast, hepatobiliary, colorectal, cardiothoracic, endocrine, vascular, trauma, pediatric, critical care, and transplant. Each full-color case begins with a patient presentation and proceeds through differential diagnosis, diagnosis and treatment, surgical procedures, postoperative management, and a case conclusion. Each case includes key technical steps, potential pitfalls, take-home points, and suggested readings. The patient stories in these clinical scenarios provide context to faciliate learning the principles of safe surgical care. This book will be particularly useful for senior surgical residents and recent graduates as they prepare for the American Board of Surgery oral examination.
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
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