By American Academy of Ophthalmology, George A. Cioffi MD
Offers a entire dialogue of glaucoma, together with epidemiology and the social and financial affects of the illness; hereditary and genetic components; intraocular strain and aqueous humor dynamics; and scientific review and surgical remedy. many of the periods of clinical treatment for glaucoma are defined by way of efficacy, mechanism of motion and safeguard. includes various photographs illustrating illness entities and surgical techniques.
Upon finishing touch of part 10, readers will be capable to:
Identify the epidemiologic gains of glaucoma, together with the social and monetary affects of the disease
Describe the scientific assessment of the glaucoma sufferer, together with historical past and basic exam, gonioscopy, optic nerve exam, and visible field
Describe the scientific positive aspects, overview, and remedy of fundamental open-angle glaucoma and normal-tension glaucoma
List a number of the scientific positive factors of and healing techniques for the first and secondary open-angle glaucomas
Read Online or Download 2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma PDF
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Additional info for 2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma
Clinical Evaluation • 37 Normal blood vessels in the angle include radial iris vessels, portions of the arterial circle of the ciliary body, and vertical branches of the anterior ciliary arteries. Normal vessels are oriented either radially along the iris or circumferentially (in a serpentine man ner) in the ciliary body face. Vessels that cross the scleral spur to reach the trabecular meshwork are usually abnormal (Fig 3-6). The vessels seen in Fuchs heterochromic iridocyclitis are fine, branching, unsheathed, and meandering.
When used with a direct ophthalmoscope and a high-plus-power lens, they can provide a good view of the fundus, even through a very small pupil. These lenses are especially helpful for patients with nystagmus or irregular corneas. Inconvenience is the major disadvantage of the direct gonioscopy systems. Indirect gonioscopy is more frequently used in the clinician's office. Indirect gonioscopy also eliminates the total internal reflection at the surface of the cornea. Light reflected from the chamber angle passes into the indirect gonioscopy lens and is reflected by a mirror within the lens.
The anterior optic nerve can be divided into 4 layers: • • • • nerve fiber prelaminar laminar retrolaminar The most anterior zone is the superficial nerve fiber layer region, which is continuous with the nerve fiber layer of the retina. This region is primarily composed of the axons of the RGCs in transition from the superficial retina to the neuronal component of the optic 5,132 1 Retina Nerve Figure 3-10 Anatomy of retinal nerve fiber distribution . Inset depicts cross-sectional view of axonal arrangement.