terminology and guidelines for glaucoma ii - Kwaliteitskoepel

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$Refractiechirurgie - Nederlands Oogheelkundig Gezelschap$

4.3.1.7 - Glaucoma associated with retinal detachment a) Topical and systemic IOP lowering medication as needed b) Surgery for retinal detachment, vitrectomy, cryosurgery, filtration surgery 4.3.1.8 - Open-angle glaucoma due to ocular trauma a) Anti-inflammatory treatment b) Topical and systemic IOP lowering medication as needed c) Long-term follow up with measurement of intraocular pressure since rise in intraocular pressure after trauma may be delayed for years d) Filtering procedure 4.3.2 - IATROGENIC SECONDARY OPEN-ANGLE GLAUCOMAS 4.3.2.1 - Glaucoma due to corticosteroid treatment a) Discontinue corticosteroid medication b) Topical and systemic IOP lowering medication as needed c) Filtration surgery 4.3.2.2 - Secondary open-angle glaucoma due to ocular surgery and laser a) Topical and systemic IOP lowering medication as needed b) Anti-inflammatory treatment c) Removal silicone oil or the intraocular lens 4.3.3 - SECONDARY OPEN-ANGLE GLAUCOMA CAUSED BY EXTRABULBAR DISEASE 4.3.3.1 - Glaucoma caused by increased episcleral venous pressure a) Treatment of the underlying disease b) Topical and systemic IOP lowering medication c) Surgery according to the specific condition Ch. 4 - 8 EGS
4.4 - PRIMARY ANGLE-CLOSURE 4.4.1 - PRIMARY ANGLE-CLOSURE (PAC) Angle-closure with plateau iris mechanism See FC X Medical treatment: Pupillary constriction to pull centripetally the peripheral iris. In plateau iris configuration, a modest pupillary constriction may prevent further angle-closure - pilocarpine 1%, aceclidine 2%, carbachol 0.75% - dapiprazole 0.5%, thymoxamine 0.5% Surgical treatment: - Peripheral laser iridoplasty stretches the iris and deepens the chamber angle. - Iridectomy or Iridotomy may be helpful only when plateau iris is combined with pupillary block mechanism Angle-closure with posterior aqueous misdirection See FC X Medical treatment - Parasympatholytics (atropine, scopolamine, cyclopentolate) may be useful as a prophylactic or curative regimen. - Aqueous production suppressants (see above) given orally and/or topically - Hyperosmotics (Ch. 4.3.1) Surgical treatment - A patent iridotomy must be present or, if not present, iridotomy should be performed. - YAG laser vitreolysis/capsulotomy, especially in aphakia, pseudophakia. - Anterior vitrectomy, especially in aphakia, pseudophakia. - In selected cases lens/IOL extraction. 4.4.1.1 - Acute angle-closure with pupillary block mechanism See FC XI Iridotomy or iridectomy is the preferred definitive treatment of acute angle-closure glaucoma with a pupillary block component. Medical treatment only serves to lower IOP, to relieve the symptoms and signs so that laser iridotomy or iridectomy is possible. The main principles of medical therapy aim at (1) withdrawal of aqueous from vitreous body and posterior chamber by hyperosmotics, (2) pupillary constriction to free the chamber angle, and (3) reduction of aqueous production, ALL THE FOLLOWING THREE STEPS SHOULD BE IMPLEMENTED CONCURRENTLY • Reduction of aqueous production - acetazolamide 10 mg/Kg intravenously or orally. - topical alpha-2 agonists - topical betablockers Topical CAIs are not potent enough to break pupillary block. Ch. 4 - 9 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”
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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 138 and 139: 4.2.7 - OCULAR HYPERTENSION (OH) Al
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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