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NHMRC Glaucoma Guidelines - ANZGIG

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<strong>NHMRC</strong> GUIDELINES FOR THE SCREENING, PROGNOSIS, DIAGNOSIS, MANAGEMENT AND PREVENTION OF GLAUCOMA<br />

Glossary of terms<br />

Pulsatile ocular<br />

blood flow<br />

Refraction<br />

Reverse pupillary block<br />

Selective laser<br />

trabeculoplasty<br />

Short-wavelength<br />

automated perimetry<br />

Tonometry<br />

Trabecular meshwork<br />

Trabeculectomy<br />

Visual acuity<br />

Visual field<br />

The indirect assessment of choroidal blood flow by estimating the influx<br />

of blood into the eye during cardiac systole from an evaluation of the<br />

continuous IOP pulse wave.<br />

Clinically, the determination of the refractive errors of an eye, or eyes<br />

(e.g. myopia, hyperopia, astigmatism, anisometropia).<br />

Blockage of the movement of aqueous from the anterior to the posterior<br />

chamber leading to a concave anatomical configuration of the peripheral iris.<br />

Use of a q-switched Nd:YAG laser to target trabecular meshwork<br />

endothelial cells without provoking coagulative necrosis, to improve<br />

aqueous outflow.<br />

A form of automated perimetry that isolates the blue cone mechanism<br />

of the visual system by utilising a two-colour incremental thresholding<br />

technique consisting of a large blue target on a bright yellow background.<br />

A procedure for measurement of the pressure within the eye.<br />

Clinically, tonometry measures the intraocular tension.<br />

The meshwork of connective tissue that is located between the canal of<br />

Schlemm and the anterior chamber, and which is involved in drainage of<br />

aqueous humor from the eye.<br />

Surgical creation of a fistula to allow aqueous outflow from the anterior<br />

chamber to the subconjunctival tissue space, bypassing the trabecular<br />

meshwork/Canal of Schlemm outflow pathway.<br />

The clearness of vision that depends on the sharpness of the retinal image<br />

and the integrity of the retinal and visual pathway. It is expressed as the angle<br />

subtended at the anterior focal point of the eye by the detail of the letter or<br />

symbol recognised.<br />

The area or extent of space visible to an eye in a given position.<br />

Sources<br />

American Optometric Association [AOA] (2002): Optometric clinical practice guideline: Care of the patient with<br />

open angle glaucoma (2nd edn.). St Louis: American Optometric Association.<br />

Burr J, Azuara-Blanco A, Avenell A (2004): Medical versus surgical interventions for open angle glaucoma.<br />

Cochrane Database of Systematic Reviews; 1.<br />

Foster PJ, Buhrmann R, Quigley HA, Johnson GJ (2002): The definition and classification of glaucoma in<br />

prevalence surveys. British Journal of Ophthalmology; 86(2):238-242.<br />

National Health and Medical Research Council 7

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