2011-2012 Basic and Clinical Science Course, Section 10: by George A. Cioffi MD

By George A. Cioffi MD

Subject matters on glaucoma comprise the epidemiologic features; hereditary and genetic elements; intraocular strain and aqueous humor dynamics; and medical evaluate, clinical administration and surgical remedy. includes a variety of photographs illustrating sickness entities and surgical recommendations. final significant revision 2008 2009.

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Extra info for 2011-2012 Basic and Clinical Science Course, Section 10: Glaucoma (Basic & Clinical Science Course)

Sample text

Textbook of Ophthalmology. ) Figure 3-9 illustrates the variety of gonioscopic fi ndings caused by blunt trauma. If the ciliary body separates from the scleral spur (cyclodialysis), it will appear gonioscopically as a deep angle recess with a gap between the scleral spur and the cil iary body. Detection of a ve ry small cleft may require ult rasound biomicroscopy. Other findings that may be visible by go nioscopy are microhyphema or hypopyon retained anterior chamber fo reign body iridodialysis angle precipitates suggestive of glaucomatocyclitic crisis pigmentation of the lens equator other peripheral lens abnormalities intraocular lens haptics ciliary body tumo rs Alward WLM.

History The history should include the following: patient's current complaint symptoms, onset, duration, severity, location ocular history history of present illness past ocular, medical, and surgical history general medical history past systemic medical history (including medications and allergies) • review of systems • social history history of alcohol and tobacco use occupation, avocation, interests family history It is often useful to question the patient specifically about symptoms and conditions associated with glaucoma, such as pain, redness, colored halos around lights, alteration of vision, and loss of vision.

Asterisk, Corneal optica l wedge. A c Figure 3-2 A, Normal open angle. Gonioscopic photograph shows trace pigmentation of the posterior trabecula r meshwork and normal insert ion of the iris into a narrow ci liary body band. The Goldmann lens was used. B, Normal open angle. This gonioscopic view using the Goldmann lens shows mild pigmentation of the posterior trabecular meshwork. A wide cil iary body band with posterior insertion of the iris can also be seen. C, Narrow angle. This gonioscopic view using the Zeiss lens without indentation shows pigment in the inferior angle but poor visuali zation of angle anatomy.

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