Glaucoma is currently the most common cause of irreversible blindness in India. It has remained a conundrum as it encompasses numerous treatment processes, with every patient responding to the same treatment and therapy in varying ways. Practical Approach to Glaucoma: Case Based provides an extensively illustrated “real-world” view of managing glaucoma. It covers essential information about different types of glaucomas and their management, which every ophthalmologist must know.
Salient features
Principles of therapy together with suggested priorities are provided through simple flowcharts.
Each chapter comprises cases explaining management of glaucoma with the help of principles and points for consideration.
Suggested readings at the end of each chapter include seminal literature and also the most recent reviews, providing a holistic overview of the topic.
Author(s): Ramanjit Sihota (ed)
Publisher: Thieme
Year: 2021
Language: English
Pages: 354
City: Noida
Tags: Medicine; Clinical Cases; Eye Diseases; Glaucoma; Glaucoma Diagnosis; Glaucoma Treatment;
Cover
Title Page
Copyright
Content
Preface
Acknowledgments
Contributors
1 Comprehensive Examination for the Early Diagnosis of Glaucoma
Overview
Introduction
Systemic Status of the Patient
Family History
Extraocular Examination
Ocular Examination
Retina
Tonometry
Conclusion
Suggested Readings
2 Glaucomatous Optic Neuropathy and Its Staging
Overview
Introduction
Pathophysiology of Glaucomatous Neuropathy
Examination of the Optic Nerve
Staging of Glaucomatous Optic Neuropathy
Suggested Readings
3 Gonioscopy
Overview
Introduction
Gonioscopes
Importance of Doing Gonioscopy
Anterior Chamber Angle Structures
Grading Systems for Gonioscopy
Techniques to Visualize Angle Structures in a Narrow Angle
Commonly Encountered Gonioscopic Patterns
Recording Gonioscopy
Cases
Suggested Readings
4 Perimetry in Glaucoma
Overview
Introduction
Kinetic Perimetry
Static Perimetry
Illustrating the Reading of a Single Visual Field
Cases
Suggested Readings
5 Classifications of Visual Field Loss in Glaucoma
Overview
Introduction
Cases
Suggested Readings
6 Optical Coherence Tomography in Glaucoma
Overview
Introduction
Principle
Role of Optical Coherence Tomography in Glaucoma
Normative Data for Glaucoma in Optical Coherence Tomography
Spectral Domain Optical Coherence Tomography
Swept Source Optical Coherence Tomography
Parameters Relevant to the Detection of Glaucomatous Abnormalities
How to Read a Retinal Nerve Fiber Layer Optical Coherence Tomography Report
How to Read a Macula Report
Optic Nerve Head Analysis
Factors Leading to Misinterpretation in Optical Coherence Tomography
Conclusion
Cases
Diagnosing Progression
Suggested Readings
7 Target Intraocular Pressure in Different Types and Severities of Glaucoma
Overview
Introduction
Target Intraocular Pressure
Normal Intraocular Pressure
Factors Determining Target Intraocular Pressure
Methods of Determining Target Intraocular Pressure
Clinical Recommendations of Absolute or Threshold Target IOP Range in Different Stages of POAG and PACG
Limitations of Setting a Target Intraocular Pressure
Reassessing Target Intraocular Pressure over Time
Cases
Conclusion
Suggested Readings
8 Glaucoma Suspect Management—Open Angle
Overview
Introduction
Suspicion on the Basis of Raised Intraocular pressure: Ocular Hypertension
Suspicion on the Basis of Optic Nerve Head Abnormalities: POAG/ JOAG Suspect
Cases
Suggested Readings
9 Glaucoma Suspect Management— Shallow Anterior Chamber with Narrow Angles
Overview
Introduction
Diagnosing a Shallow Anterior Chamber
Primary Angle-Closure Disease
Cases
Suggested Readings
10 Primary Open-Angle Glaucoma
Overview
Introduction
Pathophysiology of Glaucomatous Neuropathy
Pathophysiology of Raised Intraocular Pressure
Predisposing and Risk Factors for Developing Primary Open-Angle Glaucoma
Clinical Features
Investigations
Normal Tension Glaucoma
Management in Primary OpenAngle Glaucoma
Follow-up
Prognosis
Cases
Suggested Readings
11 Primary Angle-Closure Disease
Overview
Introduction
Classification
Pathophysiology
Provocative Tests
Clinical Features
Cases
Suggested Readings
12 Juvenile Open-Angle Glaucoma
Overview
Introduction
Clinical Features
Inheritance and Genetics
Pathophysiology
Management
Differential Diagnoses
Prognosis
Cases
Suggested Readings
13 Childhood Glaucomas
Overview
Introduction
Pathogenesis
Classification
Primary Congenital Glaucoma
Anterior Segment Dysgenesis Disorders
Aniridia
Sturge-Weber Syndrome
Secondary Glaucomas in Childhood
Management of Childhood Glaucomas
Examination of a Child with Glaucoma
Lifelong Review
Cases
Prognosis
Genetic Counseling
Suggested Readings
14 Secondary Glaucomas I: Pseudoexfoliation and Pigment Dispersion
Overview
Introduction
Pseudoexfoliation Syndrome with Glaucoma
Pigment Dispersion Syndrome and Pigmentary Glaucoma
Cases
Suggested Readings
15 Secondary Glaucomas II: Pseudophakic, Aphakic, Malignant, and Post-Uveitic Glaucomas
Overview
Introduction
Pseudophakic and Aphakic Glaucomas
Aqueous Misdirection Syndrome or Malignant Glaucoma
Uveitic Glaucoma
Cases
Suggested Readings
16 Traumatic Glaucoma
Overview
Introduction
Etiology
Closed Globe Injury
Open Globe Injuries
Chemical Injuries
Cases
Suggested Readings
17 Steroid-Induced Glaucoma
Overview
Introduction
Risk Factors
Route of Administration
Steroid Potency
Pathophysiology
Clinical Features
Management
Cases
Prognosis
Suggested Readings
18 Neovascular Glaucoma
Overview
Introduction
Pathogenesis
Clinical Features
Management
Prevention and Prognosis
Cases
Suggested Readings
19 Medical Therapy in Glaucoma
Overview
Clinical Baseline for Starting Medical Therapy in Glaucoma
Introduction
Glaucoma Medications
Drug Administration
Choice of Medications
Newer Drugs and Newer Delivery Systems
Neuroprotection
Nonresponders
Failure of Medical Treatment
Stem Cell Therapy
Conclusion
Cases
Suggested Readings
20 Laser Therapy in Glaucoma
Overview
Introduction
Laser Iridotomy
Laser Trabeculoplasty
Laser Iridoplasty
Cyclophotocoagulation
Diode Laser Cyclophotocoagulation
Conclusion
Cases
Suggested Readings
21 Diagnosing and Managing Progression in Glaucoma
Overview
Introduction
Ideal Test for Detecting Glaucoma Progression
Frequency of Testing and Review
Quantification of Progression
Identifying Progression
Management of Progression in Glaucoma
Cases
Suggested Readings
22 Trabeculectomy and Its Modifications
Overview
Introduction
Trabeculectomy
Conclusion
Cases
Suggested Readings
23 Glaucoma Drainage Devices
Overview
Introduction
Principle
Types of Implants
Indications for Using Glaucoma Drainage Devices
Contraindications for Using Glaucoma Drainage Devices
Surgical Procedure
Complications of Glaucoma Drainage Devices
Postoperative Course
Randomized Control Trials
Conclusion
Cases
Suggested Readings
24 Other Glaucoma Surgeries
Overview
Introduction
Nonpenetrating Glaucoma Surgeries
Minimally Invasive/Microinvasive Glaucoma Surgeries
Conclusion
Cases
Suggested Readings
25 Glaucoma Related to the Lens and Its Surgery
Overview
Introduction
Lens-Induced Glaucomas
Intraocular Pressure Rise/Fall with Cataract Surgery in a Normal or Glaucomatous Eye
Guidelines for Cataract/Filtering Surgery in POAG/PACG
Clear Lens Extraction
Effect of Cataract Surgery on Imaging and Perimetry
Cataract Surgery Together with Minimally Invasive Procedures
Cases
Suggested Readings
26 Low-Vision Aids for Glaucoma Patients
Overview
Introduction
Visual Impairment in Glaucoma
Low-Vision Aids
Suggested Readings
27 Lifestyle Modifications for Glaucoma
Overview
Introduction
Preventing Intraocular Pressure Rise
Associated Systemic Disease Control
Lowering Intraocular Pressure
Decrease Oxidative Stress
Food and Supplements
Suggested Readings
Index
