Glaucoma: Diagnosis and Management
Am Fam Physician. 2023 Mar;107(3):253-262.ABSTRACTGlaucoma is a group of eye disorders characterized by progressive deterioration of the optic nerve that can lead to vision loss. Primary open-angle glaucoma (POAG) is the most common form in the United States. The risk of POAG increases with age, family history of glaucoma, type 2 diabetes mellitus, hypotension, hypothyroidism, obstructive sleep apnea, cardiovascular disease, and myopia. Up to one-half of patients are undiagnosed because a diagnosis often requires monitoring over years to document changes suggesting POAG. These include a cup-to-disc ratio of 0.3 or greater,...
Source: American Family Physician - March 15, 2023 Category: Primary Care Authors: Thomas C Michels Oana Ivan Source Type: research
Glaucoma: Diagnosis and Management
Am Fam Physician. 2023 Mar;107(3):253-262.ABSTRACTGlaucoma is a group of eye disorders characterized by progressive deterioration of the optic nerve that can lead to vision loss. Primary open-angle glaucoma (POAG) is the most common form in the United States. The risk of POAG increases with age, family history of glaucoma, type 2 diabetes mellitus, hypotension, hypothyroidism, obstructive sleep apnea, cardiovascular disease, and myopia. Up to one-half of patients are undiagnosed because a diagnosis often requires monitoring over years to document changes suggesting POAG. These include a cup-to-disc ratio of 0.3 or greater,...
Source: American Family Physician - March 15, 2023 Category: Primary Care Authors: Thomas C Michels Oana Ivan Source Type: research
Glaucoma: Diagnosis and Management
Am Fam Physician. 2023 Mar;107(3):253-262.ABSTRACTGlaucoma is a group of eye disorders characterized by progressive deterioration of the optic nerve that can lead to vision loss. Primary open-angle glaucoma (POAG) is the most common form in the United States. The risk of POAG increases with age, family history of glaucoma, type 2 diabetes mellitus, hypotension, hypothyroidism, obstructive sleep apnea, cardiovascular disease, and myopia. Up to one-half of patients are undiagnosed because a diagnosis often requires monitoring over years to document changes suggesting POAG. These include a cup-to-disc ratio of 0.3 or greater,...
Source: American Family Physician - March 15, 2023 Category: Primary Care Authors: Thomas C Michels Oana Ivan Source Type: research
Glaucoma: Diagnosis and Management
Am Fam Physician. 2023 Mar;107(3):253-262.ABSTRACTGlaucoma is a group of eye disorders characterized by progressive deterioration of the optic nerve that can lead to vision loss. Primary open-angle glaucoma (POAG) is the most common form in the United States. The risk of POAG increases with age, family history of glaucoma, type 2 diabetes mellitus, hypotension, hypothyroidism, obstructive sleep apnea, cardiovascular disease, and myopia. Up to one-half of patients are undiagnosed because a diagnosis often requires monitoring over years to document changes suggesting POAG. These include a cup-to-disc ratio of 0.3 or greater,...
Source: American Family Physician - March 15, 2023 Category: Primary Care Authors: Thomas C Michels Oana Ivan Source Type: research
Argon laser trabeculoplasty for congenital ectropion uveae: Case report and review of the literature
Eur J Ophthalmol. 2023 Feb 7:11206721231156501. doi: 10.1177/11206721231156501. Online ahead of print.ABSTRACTA 18-year-old woman with unilateral glaucoma secondary to congenital ectropion uveae (CEU) in the right eye, without other systemic and ocular associations. Intraocular pressure (IOP) was uncontrolled under topical therapy. The visual field (VF) was within normal limits; retinal nerve fiber layer (RNFL) thickness, as evaluated by Optical Coherence Tomography (OCT), was reduced. The patient refused surgical intervention. After evaluation of the iridocorneal angle, ALT was performed as follows: 95 spots were applied ...
Source: European Journal of Ophthalmology - February 8, 2023 Category: Opthalmology Authors: Cosimo Incandela Paolo Ferreri Dario Sisto Giovanni Alessio Source Type: research
Argon laser trabeculoplasty for congenital ectropion uveae: Case report and review of the literature
Eur J Ophthalmol. 2023 Feb 7:11206721231156501. doi: 10.1177/11206721231156501. Online ahead of print.ABSTRACTA 18-year-old woman with unilateral glaucoma secondary to congenital ectropion uveae (CEU) in the right eye, without other systemic and ocular associations. Intraocular pressure (IOP) was uncontrolled under topical therapy. The visual field (VF) was within normal limits; retinal nerve fiber layer (RNFL) thickness, as evaluated by Optical Coherence Tomography (OCT), was reduced. The patient refused surgical intervention. After evaluation of the iridocorneal angle, ALT was performed as follows: 95 spots were applied ...
Source: European Journal of Ophthalmology - February 8, 2023 Category: Opthalmology Authors: Cosimo Incandela Paolo Ferreri Dario Sisto Giovanni Alessio Source Type: research
Racial Disparities Affecting Black Patients in Glaucoma Diagnosis and Management
Semin Ophthalmol. 2023 Jan 20:1-11. doi: 10.1080/08820538.2023.2168489. Online ahead of print.ABSTRACTBlack patients are more affected by glaucoma and suffer from more advanced disease. Diagnostic challenges among black patients with glaucoma include lower rates of diagnostic testing and thinner average central corneal thickness, the latter of which affects intraocular pressure measurement. Treatment challenges include poor follow-up, medication adherence, and trust in providers. Black patients undergoing trabeculectomy have higher rates of failure compared to white patients. Race is not a definitive factor affecting succe...
Source: Seminars in Ophthalmology - January 20, 2023 Category: Opthalmology Authors: Annie M Wu Lucy Q Shen Source Type: research
Differentiating stages of functional vision loss from glaucoma using the Disc Damage Likelihood Scale and cup:disc ratio
CONCLUSION: This study indicates that both structural staging systems can differentiate severe/end-stage glaucoma from less severe disease, with a moderate advantage of DDLS over CDR. Clinical examination of the optic disc plays an important role in addition to functional assessment when managing severe/end-stage glaucoma.PMID:36653163 | DOI:10.1136/bjo-2022-321643 (Source: The British Journal of Ophthalmology)
Source: The British Journal of Ophthalmology - January 18, 2023 Category: Opthalmology Authors: Heiko Philippin Einoti Naino Matayan Karin Marianne Knoll Edith Macha Sia Mbishi Andrew Makupa Crist óvão Daniel Matsinhe Isac Vasco da Gama M ário Jorge Monjane Joyce Awum Ncheda Francisco Alcides Francisco Mulobuana Elisante Muna Nelly Fopoussi Guyle Source Type: research
Differentiating stages of functional vision loss from glaucoma using the Disc Damage Likelihood Scale and cup:disc ratio
CONCLUSION: This study indicates that both structural staging systems can differentiate severe/end-stage glaucoma from less severe disease, with a moderate advantage of DDLS over CDR. Clinical examination of the optic disc plays an important role in addition to functional assessment when managing severe/end-stage glaucoma.PMID:36653163 | DOI:10.1136/bjo-2022-321643 (Source: The British Journal of Ophthalmology)
Source: The British Journal of Ophthalmology - January 18, 2023 Category: Opthalmology Authors: Heiko Philippin Einoti Naino Matayan Karin Marianne Knoll Edith Macha Sia Mbishi Andrew Makupa Crist óvão Daniel Matsinhe Isac Vasco da Gama M ário Jorge Monjane Joyce Awum Ncheda Francisco Alcides Francisco Mulobuana Elisante Muna Nelly Fopoussi Guyle Source Type: research
Review of glaucoma management in France
CONCLUSION: The diversity of responses concerning glaucoma management should draw attention to the need for standardized practices.PMID:36597670 | DOI:10.1177/11206721221149757 (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - January 4, 2023 Category: Opthalmology Authors: L éo Prud'homme Juliette Knoeri Chlo é Chamard Amin Bennedjai Djawed Bensmail Yves Lachkar Source Type: research
Effectiveness and safety of VISULAS ® green selective laser trabeculoplasty: a prospective, interventional multicenter clinical investigation
ConclusionsSLT performed with the VISULAS® green laser achieved clinically significant additional IOP reductions in medically treated as well as in treatment na ïve eyes with POAG and there were no relevant safety issues. The results are comparable to other reported SLT studies. (Source: International Ophthalmology)
Source: International Ophthalmology - December 26, 2022 Category: Opthalmology Source Type: research
Effectiveness of selective laser trabeculoplasty and its safety on corneal endothelium in patients with primary open angle glaucoma and ocular hypertension
Conclusion: SLT is an effective treatment modality for reducing IOP in patients with POAG and OHT and is also a safe procedure in terms of the entirety of corneal endothelial cell morphology. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 20, 2022 Category: Rural Health Authors: Sansal Gedik Onur Gulseren Source Type: research
Direct selective laser trabeculoplasty in open angle glaucoma study design: a multicentre, randomised, controlled, investigator-masked trial (GLAUrious)
Introduction
Laser trabeculoplasty is an effective and widely used treatment for glaucoma. A new laser technology, the Eagle direct selective laser trabeculoplasty (DSLT) device, may provide automated, fast, simple, safe and effective laser treatment for glaucoma in a broader range of clinical settings. This trial aims to test the hypothesis that translimbal DSLT is effective and not inferior to selective laser trabeculoplasty (SLT) in reducing intraocular pressure (IOP) in open angle glaucoma (OAG).
Methods and analysis
This is a multicentre, randomised, controlled, investigator-masked study. The primary efficacy outcome...
Source: British Journal of Ophthalmology - December 15, 2022 Category: Opthalmology Authors: Congdon, N., Azuara-Blanco, A., Solberg, Y., Traverso, C. E., Iester, M., Cutolo, C. A., Bagnis, A., Aung, T., Fudemberg, S. J., Lindstrom, R., Samuelson, T., Singh, K., Blumenthal, E. Z., Gazzard, G., On behalf of GLAUrious study group Tags: Open access Original articles - Clinical science Source Type: research
Racial Disparities Affecting Black Patients In Glaucoma Diagnosis And Management
Semin Ophthalmol. 2022 Dec 1:1-11. doi: 10.1080/08820538.2022.2152702. Online ahead of print.ABSTRACTBlack patients are more affected by glaucoma and suffer from more advanced disease. Diagnostic challenges among black patients with glaucoma include lower rates of diagnostic testing and thinner average central corneal thickness, the latter of which affects intraocular pressure measurement. Treatment challenges include poor follow-up, medication adherence, and trust in providers. Black patients undergoing trabeculectomy have higher rates of failure compared to white patients. Race is not a definitive factor affecting succes...
Source: Seminars in Ophthalmology - December 1, 2022 Category: Opthalmology Authors: Annie M Wu Lucy Q Shen Source Type: research
