By Dale K. Heuer MD
Dr. Dale okay. Heuer, and affiliate editors Dr. Steven J. Gedde and Dr. Richard Lewis, have designed this distinct reference during which best glaucoma experts provide professional suggestion, personal tastes, and evaluations on tricky scientific questions normally linked to the daily analysis and care of glaucoma sufferers. the original Q&A layout offers easy access to present details relating to glaucoma with the simplicity of a talk among colleagues. various photos, diagrams, and references are incorporated to reinforce the textual content and to demonstrate glaucoma pearls.
Curbside session in Glaucoma: forty nine scientific Questions offers details easy adequate for citizens whereas additionally incorporating specialist pearls that even high-volume glaucoma experts will relish. normal practitioners, citizens, fellows, and optometrists alike will enjoy the effortless and informal layout and the professional recommendation contained within.
Some of the questions which are answered:
• Which imagining equipment should still i exploit in my practice?
• How should still I set a aim intraocular pressure?
• what's “maximum clinical treatment” for glaucoma now?
• Which glaucoma medicines can be utilized appropriately while pregnant? In children?
• Is selective laser trabeculoplasty greater than argon or diode laser trabeculoplasty?
• Which of the hot incisional surgical possible choices to trabeculectomy should still I contemplate for my sufferers? In what scientific settings may still I think of them?
• within which sufferers with glaucoma and cataract should still I practice a combined
strategy? Cataract surgical procedure by myself? Trabeculectomy first?
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Extra info for Curbside Consultation in Glaucoma: 49 Clinical Questions
Figure 7-5. FDT performed with Humphrey matrix annually over 4 years. 37 38 Question 7 Figure 7-6. SAP annually over 4 years. What Visual Field Tests Should I Use in My Glaucoma Suspects? 39 3. Johnson CA, Adams AJ, Casson EJ, Brandt JD. Progression of early glaucomatous visual field loss for blue-onyellow and standard white-on-white perimetry. Arch Ophthalmol. 1993;111:651-656. 4. Racette L, Sample PA. Short wavelength automated perimetry. Ophthalmol Clin North Am. 2003;16:227-236. 5. Sample PA, Weinreb RN.
Of these, about 6% What Are the Most Frequent Causes of Glaucoma-Related Malpractice Suits? 13 (350 claims) were related to glaucoma. OMIC had about 150 cases with glaucoma as the (or a) leading diagnosis in the case by the end of 2002. Some cases might have 2 diagnoses, such as cataract (with surgery) and secondary glaucoma. Because of the length of time required for vision loss to occur in most patients, you would think that the lawsuits related to glaucoma are usually from patients who have seen the doctor for years and the diagnosis or progression was missed.
It is noteworthy that, although some of the signs are more important than others, it is the combination of observations that will strengthen or weaken the diagnostic hypothesis of glaucoma. Documentation of the appearance of the optic disc is as important as its examination. The appearance of the optic disc should be documented at baseline and during follow-up in all glaucoma patients and suspects. Although fundamental, documentation of the optic disc appearance has been frequently neglected by clinicians.