Curbside Consultation in Glaucoma: 49 Clinical Questions

الغلاف الأمامي
Dale K. Heuer, Steven J. Gedde, Richard A. Lewis
SLACK Incorporated, 2008 - 247 من الصفحات
Are you looking for concise, practical answers to those questions that are often left unanswered by traditional glaucoma references? Are you seeking brief, evidence-based advice for common clinical dilemmas? Curbside Consultation in Glaucoma: 49 Clinical Questions provides quick and direct answers to the thorny questions most commonly posed during a “curbside consultation” between glaucoma specialists.

Dr. Dale K. Heuer, and associate editors Dr. Steven J. Gedde and Dr. Richard Lewis, have designed this unique reference in which top glaucoma specialists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with the day-to-day diagnosis and care of glaucoma patients. The unique Q&A format provides quick access to current information related to glaucoma with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate glaucoma pearls.

Curbside Consultation in Glaucoma: 49 Clinical Questions provides information basic enough for residents while also incorporating expert pearls that even high-volume glaucoma specialists will appreciate. General practitioners, residents, fellows, and optometrists alike will benefit from the user-friendly and casual format and the expert advice contained within.

Some of the questions that are answered:
• Which imagining device should I use in my practice?
• How should I set a target intraocular pressure?
• What is “maximum medical therapy” for glaucoma now?
• Which glaucoma medications may be used safely during pregnancy? In children?
• Is selective laser trabeculoplasty better than argon or diode laser trabeculoplasty?
• Which of the new incisional surgical alternatives to trabeculectomy should I consider for my patients? In what clinical settings should I consider them?
• In which patients with glaucoma and cataract should I perform a combined
procedure? Cataract surgery alone? Trabeculectomy first?



 

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المحتويات

How Frequently Does Blindness Develop Among Patients With Primary OpenAngle Glaucoma? With Ocular Hypertension?
3
Does Reducing Intraocular Pressure Really Prevent Development And Progression of Glaucoma?
7
What Are the Most Frequent Causes of GlaucomaRelated Medical Malpractice Suits? What Can I Do to Minimize My Risk?
11
GLAUCOMA DIAGNOSIS
15
How Should I Clinically Examine the Optic Nerve?
17
Which Imaging Device Should I Use in My Practice?
23
Is There Still a Role for Stereo Disc Photography in the Diagnosis and Management of Glaucoma?
27
What Visual Field Tests Should I Use in My Glaucoma Suspects? In My Patients With Manifest Glaucoma?
31
MEDICAL THERAPY
129
Is a Unilateral Trial Useful When Starting Treatment With a Glaucoma Medication?
131
Which Glaucoma Medications Should Be Used as Initial Therapy?
135
What Is Maximum Medical Therapy in Glaucoma Management?
139
Which Glaucoma Medications Can Be Safely Used During Pregnancy? In Childhood?
143
Is There Still a Role for Miotics in Some Patients? Oral Carbonic Anhydrase Inhibitors?
147
How Should I Treat the Glaucoma Patient With Topical Drug Allergies?
151
How Can I Improve Patient Adherence?
155

What Is the Best Method for Detecting Glaucoma Development? Glaucoma Progression?
41
What Are the Implications of Disc Hemorrhages in Glaucoma Patients or Suspects?
45
How Should I Follow Patients With Anomalous Optic Discs Such as Those With Optic Nerve Drusen Tilted Discs Myopic Discs and Discs With Pits?
49
How Is 24Hour Intraocular Pressure Assessed? Is It Important in Glaucoma Management or Risk Assessment?
55
Should I Measure Central Corneal Thickness in All Glaucoma Patients? All Glaucoma Suspects?
59
How Frequently Should I Perform FollowUp Examinations Gonioscopy Visual Field Testing and Optic Nerve Evaluation in Glaucoma Patients?
63
In Which Patients With Glaucoma Should I Perform Neuroimaging Cardiovascular Evaluation andor Laboratory Testing?
67
When Should I Suspect Nonpupillary Block Secondary AngleClosure? What Are the Causes?
73
What Systemic Diseases Can Be Associated With Glaucoma?
79
GENERAL MANAGEMENT
83
Which Patients With Ocular Hypertension Should I Treat?
85
How Should I Set a Target Intraocular Pressure?
89
How Should I Begin Treatment for a Newly Diagnosed Primary OpenAngle Glaucoma Patient?
93
Are There Special Issues of Which I Should Be Aware Regarding Pigment Dispersion Syndrome or Pigmentary Glaucoma?
97
Does Exfoliation Syndrome Increase the Risk of Developing Glaucoma? Are Patients With Exfoliation Glaucoma More Likely to Progress? What Ot...
101
How Frequent is CorticosteroidInduced Glaucoma? How Should I Manage It?
105
What Methods Are Available to Break an Acute Attack of AngleClosure Glaucoma?
109
How Should I Manage Neovascular Glaucoma?
113
How Should I Treat Elevated Intraocular Pressure With or Without Glaucoma Damage Associated With Uveitis?
119
What Treatment Options Are Available for a Blind Painful Eye?
125
LASER AND INCISIONAL GLAUCOMA SURGERY
159
When Should I Perform Laser Trabeculoplasty in My Patients With OpenAngle Glaucoma?
161
When Should I Perform a Prophylactic Laser Iridotomy?
165
When Is Laser Iridoplasty Used?
169
When Is Incisional Glaucoma Surgery Indicated?
173
What Can I Do to Reduce the Risks of Complications and Failure After Trabeculectomy?
177
What Can I Do After Trabeculectomy to Improve Its Success Rate?
183
How Do I Manage Chronic Hypotony Maculopathy? How Soon Should I Intervene?
187
What Are Causes of Anterior Chamber Shallowing After Trabeculectomy?
191
How Should I Manage a LateOnset Bleb Leak?
197
What Factors Increase the Risk of BlebRelated Infection? How Should I Treat Blebitis and BlebRelated Endophthalmitis If It Develops?
201
In Which Patients With Glaucoma and Cataracts Should I Perform a Combined Procedure? Cataract Surgery Alone? Trabeculectomy First?
205
What Are the Indications for Placement of an Aqueous Shunt?
211
What Is the Best Surgical Approach for Managing Uncontrolled Glaucoma in a Patient Who Had Previous Cataract Extraction or Failed Filtering Sur...
215
Is There a Role for Nonpenetrating Glaucoma Surgery?
219
What Other New Surgical Techniques Are Available for Glaucoma?
223
In Which Glaucoma Patients Should I Consider Cyclodestruction?
229
Financial Disclosures
233
Index
239
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عبارات ومصطلحات مألوفة

حول المؤلف (2008)

Dale K. Heuer, MD received his undergraduate and medical degrees from Northwestern University. He completed his ophthalmology residency at the Medical College of Wisconsin and a 2-year National Research Service Award?funded glaucoma fellowship at the Bascom Palmer Eye Institute. Dr. Heuer has published extensively on the use of conventional filtering procedures with wound-healing modulation and aqueous shunting procedures for t he management of glaucomas with poor surgical prognoses. He has participated in several glaucoma clinical trials, including the Fluorouracil Filtering Surgery Study, the Collaborative Normal-Tension Glaucoma Study, and the Collaborative Initial Glaucoma Study. Dr. Heuer currently serves as one of the three Vice Chairs of the National Eye Institute?sponsored Ocular Hypertension Treatment Study, one of the three Co-Chairs of the Tube Versus Trabeculectomy Study, a member of the Safety & Data Monitoring Committee of the Ahmed-Baerveldt Comparison Study, and a voting member of the US Food & Drug Administration's Ophthalmic Device Panel. He is Professor and Chairman of Ophthalmology at the Medical College of Wisconsin, where he also serves as the Director of the Froedtert & Medical College of Wisconsin Eye Institute.

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