By George A. Cioffi MD

Issues on glaucoma contain the epidemiologic elements; hereditary and genetic elements; intraocular strain and aqueous humor dynamics; and scientific assessment, scientific administration and surgical remedy. includes various photos illustrating affliction entities and surgical recommendations. final significant revision 2008 2009.

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Additional info for 2011-2012 Basic and Clinical Science Course, Section 10: Glaucoma (Basic & Clinical Science Course)

Sample text

It is important to distingu ish PAS from iris processes (the uveal meshwork), which are open and lacy and follow the normal curve of the angle. The angle structures are visi ble in the open spaces between the processes. Synechiae are more solid or sheetlike (Fig 3-7) . They are composed of iris stroma and obliterate the angle recess. A Figure 3-6 Gon iophotos of neovascularization of the angle. A, Anatomica lly open angle . 8 , Closed angle. (Part A courtesy of Keith, Barton, MD; part B courtesy of Ronald L.

Shah S. Accurate intraocular pressure measu rement-the myth of modern ophthalmology? Ophthalmology. 2000;107; 1805- 1807. Sommer A, Tielsch ]M, Katz ], et a1. Relationship between intraocular pressure and primary open angle glaucoma among white an d black Americans. The Baltimore Eye Survey. Arch Ophthalmol. 1991;109;(8)1090- 1095. CHAPTER 3 Clinical Evaluation History and General Examination Appropriate management of glaucoma depends on the clinician's ability to diagnose the specific form of glaucoma in a given patient, to determine the severity of the condition, and to detect progression in that patient's disease status.

Recently, the importance ofCCT and its effect on the acc uracy of lOP measurement has become better understood. The Go ldmann tonometer is most accurate, with a CCT of 520 ~m; however, population studies have shown a wide range of normal, with mean CCT between 537 and 554 fun. Increased CCT may give an artifiCially high lOP measurement; decreased CCT, an artifiCially low reading. lOP measured afte r photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) may be reduced because of changes in the corneal thickness induced by th ese and other refractive procedures.

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