terminology and guidelines for glaucoma ii - Kwaliteitskoepel

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$Refractiechirurgie - Nederlands Oogheelkundig Gezelschap$

4.2.7 - OCULAR HYPERTENSION (OH) Although in the past it has been used as a diagnosis, Ocular Hypertension should be used to indicate that the IOP is consistently outside 2 standard deviations above the mean. Consider corneal thickness (see Introduction II and Ch. 1.1; FC II and IV). A modest increase in IOP is not sufficient reason for treatment, but consider it in patients with repeated IOPs in the high twenties, even without risk factors. For treatment modality see Ch. 4.2.3-a. (See also Ch. 2.2.3. and flow-charts) Ch. Introduction II -If left untreated * up to 9.5% develop glaucoma over 5 year of follow-up * the risk of developing glaucoma increases with increasing IOP * prophylactic IOP-lowering therapy to be discussed with individual patients considering the presence of risk factors Follow-up at intervals of 12 months initially, to be increased if all parameters remain negative, with exami nation of: - Optic disc - Visual field - IOP - ONH and RNFL photographs initially and every 2-3 years Patients for the ocular hypertension treatment study (Ch. Introduction II) were selected excluding myopes, labile diabetics, poor compliance. In most of Europe black Africans are a minority. NOTE: Assess each patient individually when deciding whether or not to treat. Ch. 4 - 6 EGS
4.3 - SECONDARY OPEN-ANGLE GLAUCOMA 1-3 4.3.1 - SECONDARY OPEN-ANGLE GLAUCOMAS CAUSED BY OPHTHALMOLOGICAL DISEASE 4.3.1.1 - Pseudoexfolation glaucoma a) Topical medication b) ALT often achieves a large IOP decrease c) Filtering procedure 4.3.1.2 - Pigmentary glaucoma a) Topical medication Beware that drugs which dilate the pupil may cause additional pigment liberation and therefore a spike in IOP. Check peripheral retina for tears before using pilocarpine. b) ALT The heavily pigmented trabecular meshwork warrants power lower than usual. The IOP response is highly variable. c) Filtering procedure d) Peripheral Nd:YAG laser iridotomy for eliminating reverse pupillary block if present. The potential longterm benefit could be decreased iris rubbing and pigmentary release with a prophylactic role by preventing irreversible trabecular damage. 4.3.1.3 - Lens-induced open-angle glaucoma Topical anti-inflammatory medication followed by extraction of lens or lens fragments, and vitrectomy if needed 4.3.1.4 - Glaucoma associated with intraocular haemorrhage a) Topical and systemic IOP lowering medication as needed b) Paracentesis and wash-out of the anterior chamber c) Vitrectomy (for vitreous blood) 4.3.1.5 - Uveitic glaucoma a) Topical and systemic anti-inflammatory therapy b) Topical and systemic IOP lowering medication as needed c) Treatment of the underlying disease d) Glaucoma surgery (consider antimetabolites) 4.3.1.6 - Glaucoma due to intraocular tumor a) Irradiation, surgical tumor excision, enucleation b) Topical and systemic IOP lowering medication as needed c) Cyclodestruction d) Trabeculectomy not indicated Ch. 4 - 7 EGS
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ISBN: 88-87434-13-1 Editrice DOGMA
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ACKNOWLEDGEMENT This work was made
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2.2.5 - Primary Open-Angle Glaucoma
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Foreword These Definitions and Guid
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INTRODUCTION The aim of the book is
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Since resources are limited worldwi
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II - RANDOMIZED CONTROLLED TRIALS F
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II.3 - COLLABORATIVE NORMAL TENSION
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No stratification for stage of dise
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II. 6. 3 - from CNTG 1. Therapy tha
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References 1) The Ocular Hypertensi
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I - QUESTIONS TO ASK TO YOUR GLAUCO
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III - ABNORMAL THRESHOLD VISUAL FIE
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V - GONIOSCOPIC OPEN ANGLES SOME DI
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VII - TREATMENT STEPLADDER JUVENILE
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IX - MONOTHERAPY (in alphabetic ord
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XI - MANAGEMENT ACUTE ANGLE CLOSURE
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XIII - ANTIMETABOLITES FOR WOUND MO
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CHAPTER 1 PATIENT EXAMINATION
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Other methods 22-25 : Air-puff tono
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References 1) Martin XD. Normal int
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1.2 - GONIOSCOPY Gonioscopy is a fu
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1 2 3 4 Fig. 1 Dynamic indentation
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The Spaeth classification Insertion
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References 1) Palmberg P. Gonioscop
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small - size mid - size large - siz
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Fig. 5 A) Cirumlinear vessel, B) Ba
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1.3.4.3 - OCT The Optical Coherence
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31) Carpineto P, Ciancaglini M, Zup
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central 24 or 30 central degrees re
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A retinal sensitivity value worse t
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HODAPP CLASSIFICATION 31 EARLY GLAU
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References 1) Bengtsson B, Heijl A,
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1.5 - BLOOD FLOW 1.5.1 - VASCULAR F
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28) Flammer J, Orgul S, Costa VP, O
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All forms of glaucoma should be cla
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2.2 - PRIMARY OPEN-ANGLE GLAUCOMAS
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2.2.4 - PRIMARY OPEN-ANGLE GLAUCOMA
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2.3 - SECONDARY OPEN-ANGLE GLAUCOMA
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2.3.1.6 - Glaucoma due to intraocul
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2.4 - PRIMARY ANGLE-CLOSURE Primary
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Systemic Risk factors for primary a
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OCCLUDABLE ANGLE: “Occludable”
Page 88 and 89: 2.5.3 - SECONDARY ANGLE-CLOSURE GLA
Page 90 and 91: CHAPTER 3 TREATMENT PRINCIPLES and
Page 92 and 93: Furthermore, blindness may occur de
Page 94 and 95: T A R G E T I O P Target IOP range
Page 96 and 97: Practical points for topical medica
Page 98 and 99: 3.3.1.1 - Category: ADRENERGIC AGON
Page 100 and 101: 3.3.1.2 - Category: ADRENERGIC ANTA
Page 102 and 103: 3.3.1.3 - Category: CARBONIC ANHYDR
Page 104 and 105: 3.3.1.4 - Category: PARASYMPATHOMIM
Page 106 and 107: 3.3.1.5 - Category: PROSTAGLANDIN D
Page 108 and 109: Drug interactions Precipitation occ
Page 110 and 111: COMBINATION THERAPY Starting* Addit
Page 112 and 113: 3.3.2.2 - Category: ADRENERGIC ANTA
Page 114 and 115: Pregnancy and nursing mothers Only
Page 116 and 117: 3.5 - LASER SURGERY 3.5.1 - LASER I
Page 118 and 119: 3.5.2 - LASER TRABECULOPLASTY 77-89
Page 120 and 121: 3.5.4 - CYCLOPHOTOCOAGULATION Indic
Page 122 and 123: Although medical therapy is still t
Page 124 and 125: 3.6.4 - COMPLEX CASES Complicated g
Page 126 and 127: Post-operative use Concentration: 0
Page 128 and 129: 25) Janz NK, Wren PA, Lichter PR, M
Page 130 and 131: (Rescula TM ) in patients with glau
Page 132 and 133: in white patients with open-angle g
Page 134 and 135: CHAPTER 4 TREATMENT GUIDELINES
Page 136 and 137: 4.2 - PRIMARY OPEN-ANGLE GLAUCOMAS
Page 140 and 141: 4.3.1.7 - Glaucoma associated with
Page 142 and 143: • Withdrawal of aqueous from vitr
Page 144 and 145: 4.5 - SECONDARY ANGLE-CLOSURE GLAUC
Page 146 and 147: 4.5.3 - SECONDARY ANGLE-CLOSURE GLA
Page 148 and 149: NOTES
Page 150 and 151: NOTES
Page 152: NOTES
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