Answers in Glaucoma
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The editors sought to compile a series of questions that probe the current condition of the conundrum of glaucoma. The answers were provided by invited experts and many of the replies are definitive and based on clinical or laboratory research. Other answers express opinions that are anecdotal and based on experience or logic. And of course some of them raise new questions.
This book invites to consult and read. In the end it gives you an answer to the questions you may have.
Publication details: Book. 2005. xxvi and 305 pages. Publication date: 2005. 9 tables and 40 figures, of which 24 in full color. Hardbound.
For this book, we sought to compile a series of questions that probe the current condition of the conundrum of glaucoma. Many of the answers that have been provided by the invited experts are definitive and based on clinical or laboratory research that has become possible due to the emergence of new technologies and methodologies. Others express opinions that are anecdotal and based on experience or logic. It was our intent that these questions and the elicited responses would not only provide didactic information about glaucoma, but raise new questions. Some of the new questions might be designed to elucidate existing answers. Others might arise from the surprise of learning something inconsistent with previous expectations or understandings. And still others might arise from either practical need or curiosity. An enhanced understanding of glaucoma depends upon the generation of answers to these new questions, as well as informed alterations of the answers to the existing ones provided here.
Remo Susanna Jr. MD
Sao Paulo, Brazil
Robert N. Weinreb MD
La Jolla, USA
Table of Contents
Question 1 - How is glaucoma defined?
Robert N. Weinreb, Felipe A. Medeiros
Question 2 - Why do people go blind from glaucoma?
Monica M. Carrillo, Raymond P. LeBlanc
Question 3 - How often do patients with glaucoma become blind?
Douglas H. Johnson
Question 4 - What causes optic nerve damage in glaucoma?
Douglas R. Anderson
Question 5 - Selective cell death in glaucoma: does it really exist?
Catherine Boden, Pamela A. Sample
Question 6 - Is glaucoma only an eye disease?
Stephen M. Drance
Question 7 - Is Glaucoma an eye disease only?
Neeru Gupta , Yeni H. Yücel
Question 8 - Should glaucoma patients undergo genetic testing?
Wallace L. M. Alward
Question 9 - What are the ophthalmoscopic signs of glaucomatous optic
Jost B. Jonas
Question 10 - Is optical coherence tomography useful in the clinical
evaluation of glaucoma
Joel S. Schuman
Question 11 - Is scanning laser tomography useful in the evaluation of
Balwantray C. Chauhan
Question 12 - Is scanning laser polarimetry useful in the clinical
evaluation of glaucoma?
Question 13 - Is frequency doubling technology (FDT) perimetry useful
in the clinical evaluation of glaucoma?
Philip P. Chen
Question 14 - Is SWAP useful in the clinical evaluation of glaucoma?
Christopher A. Girkin
Question 15 - When should UBM be performed in the evaluation of
Question 16 - Are there methods for assessing ocular blood flow in
clinical practice that are relevant to glaucoma diagnosis and
George A. Cioffi
Question 17 - What is the earliest detectable sign of glaucoma?
Jost B. Jonas
Question 18 - Glaucoma masqueraders
Leonard A. Levin
What are the ideal characteristics of a drug for the treatment of primary open angle glaucoma?
Question 20 - What is maximal tolerated medical therapy?
Robert D. Fechtner, Tony Realini
Question 21 - What is the practical importance of blood flow
evaluation in glaucoma?
Question 22 - Is a glaucoma vaccination feasible? (Towards development
of a vaccination for glaucoma)
Question 23 - When should we treat ocular hypertensives?
K. Schwartz, Richard K. Parrish
Question 24 - What is the practical importance of pachymetry in the
clinical evaluation of glaucoma?
James D. Brandt
Question 25 - Are myopic eyes more susceptible to glaucomatous damage?
Claude F. Burgoyne
Question 26 - Is sleep apnea a risk factor for glaucoma?
Parag A. Gokhale
Question 27 - What is the importance of IOP fluctuation in glaucoma?
Remo Susanna Jr, Roberto M. Vessani
Question 28 - What is target pressure and how can it be calculated?
(Evidence-based target pressures: How to choose them)
Question 29 - Is treatment of early glaucoma important?
Question 30 - What is the role of rate of progression in the
management of glaucoma?
Erik L. Greve
Question 31 - How can one optimally follow patients with end-stage
glaucoma and advanced visual field loss?
Question 32 - How should normal tension glaucoma be managed?
Marcelo T. Nicolela
Question 33 - Is laser iridotomy indicated in the management of
pigmentary dispersion Syndrome?
M. Bruce Shields
Question 34 - Why is intraocular pressure difficult to control in
Robert Ritch, Vincent Hugo
Question 35 - How is neovascular glaucoma most effectively managed?
Question 36 - When is an angle occludable?
S. Fabian Lerner
Question 37 - How are occludable angles best detected? (Management of
Steve K. L. Seah, Tin Aung
Question 38 - Is primary angle-closure glaucoma a single disease?
Question 39 - How is acute angle glaucoma managed?
Question 40 - How is a patient with chronic angle closure best
Question 41 - How to diagnose and manage glaucoma in nanophthalmic
Roberto Freire, Santiago Malta
Question 42 - Which are the limitations of laser iridotomy in the
management of primary angle closure glaucoma?
Anita S. Y. Chan, Tin Aung, Paul T. K. Chew
Question 43 - How is malignant glaucoma diagnosed and treated?
Question 44 - When should we do laser trabeculoplasty in the
management of glaucoma? Laser trabeculoplasty
Question 45 - Is there a role for selective laser trabeculoplasty?
Karim F. Damji
Question 46- When should a laser iridoplasty be performed?
Question 47 - What are the indications for trabeculectomy in the
management of the glaucoma patient?
Jeffrey M. Liebmann
Question 48 - When to use prophylactic antibiotics prior to
Question 49 - When and how is 5-fluorouracil (5-FU) used with
Question 50 - When and how is mitomicin C used with trabeculectomy?
P. T. Khaw
Question 51 - When should we use releasable sutures in
Heryberto S. Alvim, L. Jay Katz
Question 52 - How should a postoperative bleb leak be managed?
Richard P. Mills
Question 53 - When should a choroidal effusion after trabeculectomy be
Question 54 - How should hypotony maculopathy due to overfiltration be
Robert L. Stamper
Question 55 - What are the risk factors for bleb-related
Question 56 - How is a failing bleb diagnosed and managed?
Roger A. Hitchings
Question 57 - Which patients are at most risk for post-operative
vision loss following trabeculectomy?
Andrew C. Crichton
Question 58 - What are the indications for combined procedures (cataract and glaucoma)?
Lili Farrokh-Siar, Michelle Colev, Ahmad A. Aref, Theodore Krupin
Question 59 - What indications are there for non penetrating surgery
Roberto G. Carassa
Question 60 - When should glaucoma drainage device be used in the surgical treatment of glaucoma?
Question 61 - Are mitomycin c or 5-fluorouracil useful with aqueous
Troy M. Tanj, Dale K. Heuer
Question 62 - What are the main complications of glaucoma implant
Felix Gil Carrasco
Question 63 - What are the indications for laser cyclodestructive
Jonathan G. Crowston