Curbside consultation in glaucoma 49 clinical questions /

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Bibliographic Details
Other Authors: Heuer, Dale K., Gedde, Steven J., Lewis, Richard A., 1951-
Format: Electronic eBook
Language:English
Published: Thorofare, NJ : SLACK, c2008.
Series:Curbside consultation in ophthalmology series.
Subjects:
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Table of Contents:
  • How frequently does blindness develop among patients with primary open-angle glaucoma? With ocular hypertension
  • Does reducing intraocular pressure really prevent development and progression of glaucoma
  • What are the most frequent causes of glaucoma-related medical malpractice suits? What can I do to minimize my risk?
  • How should I clinically examine the optic nerve
  • What imaging device should I use in my practice
  • Is there still a role for stereo disc photography in the diagnosis and management of glaucoma
  • What visual field tests should I use in my glaucoma suspects? In my patients with manifest glaucoma?
  • What is the best method for detecting glaucoma development? Glaucomatous progression?
  • What are the implications of disc hemorrhages in glaucoma patients or suspects? How should I follow patients with anomalous optic discs, such as those with optic nerve drusen, tilted discs, myopic discs, and discs with pits?
  • How is 24-hour intraocular pressure assessed? Is it important in glaucoma management or risk assessment?
  • Should I measure central corneal thickness in all glaucoma patients? All glaucoma suspects? How frequently should I perform follow-up examinations, gonioscopy, visual field testing, and optic nerve evaluation in glaucoma patients?
  • In which patients with glaucoma should I perform neuroimaging, cardiovascular evaluation, and/or laboratory testing? When should I suspect nonpupillary block secondary angle-closure? What are the causes? What systemic diseases can be associated with glaucoma?
  • Which patients with ocular hypertension should I treat?
  • How should I set a target intraocular pressure?
  • How should I begin treatment for a newly diagnosed primary open-angle glaucoma patient?
  • Are there special issues of which I should be aware regarding pigment dispersion syndrome or pigmentary glaucoma?
  • Does exfoliation syndrome increase the risk of developing glaucoma? Are patients with exfoliation glaucoma more likely to progress? What other issues do these patients have?
  • How frequent is corticosteroid-induced glaucoma? How should I manage it?
  • What methods are available to break an acute attack of angle-closure glaucoma?
  • How should I manage neovascular glaucoma?
  • How should I treat elevated intraocular pressure (with or without glaucoma damage) associated with uveitis?
  • What treatment options are available for a blind, painful eye?
  • Is a unilateral trial useful when starting treatment with a glaucoma medication?
  • Which glaucoma medications should be used as initial therapy?
  • What is a maximum medical therapy in glaucoma management?
  • Which glaucoma medications can be safely used during pregnancy? In childhood?
  • Is there still a role for miotics in some patients? Oral carbonic anhydrase inhibitors?
  • How should I treat the glaucoma patient with topical drug allergies?
  • How can I improve patient adherence?
  • When should I perform laser trabeculoplasty in my patients with open-angle glaucoma?
  • When should I perform a prophylactic laser iridotomy?
  • When is laser iridotomy used?
  • When is incisional glaucoma surgery indicated?
  • What can I do to reduce the risks of complications and failure after trabeculectomy?
  • What can I do after trabeculectomy to improve its success rate?
  • How do I manage chronic hypotony maculopathy? How soon should I intervene? - What are causes of anterior chamber shallowing after trabeculectomy?
  • How should I manage a late-onset bleb leak?
  • What factors increase the risk of bleb-related infection? How should I treat blebitis and bleb-related endophthalmitis if it develops?
  • In which patients with glaucoma and cataracts should I perform a combined procedure? Cataract surgery alone? Trabeculectomy first?
  • What are the indications for placement of an aqueous shunt?
  • What is the best surgical approach for managing uncontrolled glaucoma in a patient who had previous cataract extraction or failed filtering surgery?
  • Is there a role for nonpenetrating glaucoma surgery?
  • What other new surgical techniques are available for glaucoma?
  • In which glaucoma patients should I consider cyclodestruction?