Description

Intraocular Pressure is the subject for the fourth Consensus report published under the auspices of the AIGS, now renamed as the World Glaucoma Association (WGA). It seems like yesterday (November, 2003) that the inaugural AIGS Consensus meeting was held in San Diego to discuss Glaucoma Diagnosis. Since then we have had annual consensus reports on Open Angle Glaucoma Surgery and Angle Closure and Angle Closure Glaucoma. Each of them has been preceded by several months of active participation in our Project Forum E-Room (beginning in January, 2007 for the IOP Consensus) by expert members of the various consensus committees. As done with prior reports, the preliminary document was circulated to each of the member societies of the WGA, and additional comments were solicited for the document. Each member Society also was invited to send a representative to attend the consensus meeting that was held in Fort Lauderdale, Florida on May 5, 2007. The report then was discussed extensively during the Consensus Meeting and Consensus Statements were revised following these discussions. Intraocular Pressure is a topic that touches the essence of our subspecialty. Its measurement is a vital aspect of glaucoma diagnosis and treatment. For now, it is the only modifiable risk factor. Measurement of IOP is a relatively recent – one century – addition to our diagnostic armamentarium. Even though the measurement of IOP is relatively simple, it is by no means uncomplicated. The greatest limitation is probably the paucity of measurements that are obtained in practice. Although continuous IOP measurement is on the horizon, it still is not ready for clinical practice. Arriving at a consensus often can be circuitous and filled with compromises. However, this opportunity is used to critically assess the evidence and develop consensus points. The reader will find this consensus report instructive, practical, and thought-provoking. Moreover, it has great potential to impact patients, both individually and collectively, through both their care and research. Foreword Preface Basic Science of intraocular pressure Measurement of intraocular pressure IOP as a risk factor for glaucoma development and progression Epidemiology of intraocular pressure Clinical trials and intraocular pressure Target IOP in clinical practice Henry Jampel Disclosures Index of authors

Reviews

Reviews from Amazon users which were colected at the time this book was published on the website:

⭐Not found.

Description

For the World Glaucoma Association Consensus VI, our topic was Blood Flow in Glaucoma. Global experts were assembled beginning in November 2008 to participate in the Project Forum E-Room, a unique aspect to facilitate discussion of each of the consensus meetings. With each of the prior meetings, arriving at the consensus was circuitous and filled with compromises, and this meeting had a similar path. Nevertheless, this was an excellent opportunity to critically assess the evidence relating to the relationship between glaucoma and ocular blood flow and develop consensus statements. The meeting, as with previous ones, was stimulating, educational, thought-provoking, and enjoyable for all participants and attendees. Preface Welcome ANATOMY AND PHYSIOLOGY Anatomy of blood from the heart to the eye Blood supply of the optic nerve Overview of blood flow regulation in general The mediators of autoregulation The anatomic underpinning of ocular blood flow control The ocular vasculature and its role in regulating blood flow to the optic nerve and retina CLINICAL MEASUREMENT OF OCULAR BLOOD FLOW Color Doppler Imaging Laser Doppler Flowmetry and Scanning Laser Flowmetry Retinal Vessel Analyzer Blue Field Entopic Stimulation Laser Interferometric Measurement of Fundus Pulsation Dynamic Contour Tonometry and Ocular Pulse Amplitude Pulsatile Ocular Blood Flow (POBF) Analyzer Laser Speckle Method (Laser Speckle Flowgraphy) Digital Scanning Laser Ophthalmoscope Angiography Bi-directional Laser Doppler Velocimetry and Simultaneous Vessel Densitometry Doppler Optical Coherence Tomography Retinal Oximetry CLINICAL RELEVANCE OF OCULAR BLOOD FLOW (OBF) MEASUREMENTS INCLUDING EFFECTS OF GENERAL MEDICATIONS OR SPECIFIC GLAUCOMA TREATMENT What is the evidence supporting a role for ocular blood flow in glaucoma patients? Clinical evidence derived from different measurement parameters Evidence from experimental animal studies What disease mechanisms lead to impaired blood flow in glaucoma? Ocular versus systemic causes Systemic factors Vascular dysregulation/perfusion instability What is the impact of medication and other modifiable factors on ocular blood flow? IOP-lowering topical medication Systemic drugs Ocular surgery, exercise Does modulation of blood flow alter glaucoma progression? Glaucoma and systemic vascular disease Systemic disease and glaucoma patients Diabetes Cardiovascular diseases SHOULD MEASUREMENTS OF OCULAR BLOOD FLOW BE IMPLEMENTED INTO CLINICAL PRACTICE? Interpreting clinical studies WHAT DO WE STILL NEED TO KNOW? Ocular blood flow and visual function in glaucoma patients Ocular perfusion pressure and prevalence and progression of glaucoma Ocular blood flow and optic nerve head structure The relationship between intraocular pressure and ocular blood flow The relationship between cerebrospinal fluid pressure and glaucoma Future research Summary of Consensus Points Index of authors

Reviews

Reviews from Amazon users which were colected at the time this book was published on the website:

⭐Not found.

Description

Medical Treatment of Glaucoma is the topic of the seventh World Glaucoma Association Consensus. Medical treatment of glaucoma continues to be at the core of glaucoma management. Hence, the results of this report will have broad and significant impact on glaucoma research and clinical practice. The global faculty, consisting of leading authorities on the clinical and scientific aspects of medical management, met in Fort Lauderdale on May 1, 2010 to discuss the reports and refine the consensus statements.

Reviews

Reviews from Amazon users which were colected at the time this book was published on the website:

⭐Not found.