By Ridia Lim MB BS, MPH, FRANZCO, Ivan Goldberg MBBS, FRANZCO, FRACS (auth.), Paul N. Schacknow, John R. Samples (eds.)
The Glaucoma Book is either a complete educational paintings with evidence-based technology and exhaustive bibliographies, and a daily, pragmatic advisor for basic ophthalmologists, optometrists, and resident physicians who want instant solutions whereas analyzing sufferers. Its ninety two chapters and 38 sidebar essays diversity from traditional themes (e.g., open attitude glaucoma, pigmentary dispersion syndrome, pediatric glaucomas) to people who haven't formerly seemed in a glaucoma textual content (e.g., medical-legal elements of glaucoma care, doing community-based glaucoma research). Diagnostic checks and instrumentation, present and attainable destiny scientific remedies, and conventional and state-of-the-art surgical interventions are completely explored. The participants come from recognized educational associations and high-volume neighborhood established glaucoma practices. images, illustrations, and tables are sprinkled liberally in the course of the e-book. The Glaucoma Book embodies the paintings and technological know-how of taking good care of glaucoma patients.
Unique good points no longer present in different texts include:
*extensive sidebar essays by way of specialists exploring state-of-the-art subtopics inside chapters
*latest laser remedies for glaucoma, together with micro-diode and titanium sapphire trabeculoplasty, in addition to exterior laser ways and aid of intraocular strain by means of utilizing laser to the pars plana
*comprehensive assurance of the optic nerve, together with thorough dialogue of the significance of the nerve fiber layer hemorrhages
*neuro-ophthalmological concerns, diagnostic approaches (e.g., MRI, CT), and different optic neuropathies to contemplate while reading the glaucoma patient
*combination of scientific technological know-how and easy technological know-how with professional remark at the frontiers of destiny scientific and surgical treatments which are prone to emerge for sufferer care
*an built-in method of neovascular glaucoma, merging remedy from the anterior section to the retina, using new anti-VEGF medications, and using tubes and shunts to accomplish the easiest surgical outcome
*exceptional recommendation on the right way to take care of the issues of assorted glaucoma surgical procedures via best clinicians, in addition to an excellent bankruptcy on trabeculectomy concepts for the final ophthalmologist
*the top written evaluate of visible fields in glaucoma bar none
*a entire description of a finished office-based exam of the glaucoma sufferer, together with medical pearls (e.g., gonioscopy, visual view research, electronic photo research (OCT, GDx, HRT) , optic nerve photography)
*contemporary concerns and controversies concerning the value of intraocular strain (IOP)
*the drug improvement process--what particularly is going on on the FDA to carry new glaucoma medicinal drugs from the lab bench to scientific use--and how the community-based practices can take part.In brief, this is often the single booklet on glaucoma that no normal eyecare doctor who sees glaucoma sufferers can have the funds for to be with out. it's loaded with pearls and functional recommendation through professional, skilled clinicians and scientists, whereas firmly grounded in a systematic view of the ailment.
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Additional info for The Glaucoma Book: A Practical, Evidence-Based Approach to Patient Care
Physical, emotional, and financial considerations are part of this. Currently, we define the glaucomas as an optic neuropathy (with multifactorial risk factors that include increased IOP, increasing age, and genetic predisposition) characterized by recognizable patterns of optic disc and retinal nerve fiber structural and visual field functional damage. Glaucomatous optic neuropathy is not the disease; it is the end-result of several as yet unidentified cellular disease processes. Unlike almost all other optic neuropathies, contour changes of the optic nerve head (“cupping”) with progressive loss of the retinal nerve fiber layer and associated functional deficits are features of the disease; this results from accelerated retinal ganglion cell apoptosis, initiated by damaging processes that target the axons of these cells as they leave the globe.
As glaucoma patients obtain their knowledge primarily from their treating physician, we must inform and educate them appropriately. As this information and support may need to be given repeatedly over a prolonged period, lack of professional time can be a major challenge. Patient support organizations are vital. Community groups at national levels are foundation stones for the world glaucoma patient community. Lay glaucoma organizations, such as Glaucoma Australia, are our interface with the wider community.
Underestimate progression63 • Glaucoma change probability (GCP, Statpac 2) • Guided progression analysis (GPA) loss and driving capability is weak. Most countries have visual standards to be able to drive. In Australia, an unrestricted, noncommercial license holder must have a horizontal visual field of 120°, 10° above and below the horizontal axis. The Esterman visual field test (EVFT) has been the main way to estimate the visual field and suitability to drive. It has disadvantages: it involves further testing, and the central 7° of the visual field is not tested.