By George A. Cioffi MD
Themes on glaucoma contain the epidemiologic features; hereditary and genetic elements; intraocular strain and aqueous humor dynamics; and scientific review, clinical administration and surgical treatment. includes various photos illustrating disorder entities and surgical ideas. 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)
The combination ofthe lens manipulation and the use of viscous fluid often temporarily reduces the clarity of the cornea and may make subsequent fundus examination, visual field testing, and photography more difficult. These lenses provide the clearest visualization of the anterior chamber angle structures and may be modified with antireflective coatings for use during laser procedures. The Posner, Sussman, and Zeiss 4-mirror goniolenses allow all 4 quadrants of the chamber angle to be visualized without rotation of the lens during examination.
Baltimore. Williams & Wilkins; 1997. Part B courtesy of Ronald L. ) anterior optic nerve, with distortion of the lamina cribrosa plates and interruption of axoplasmic flow, resulting in the death of the RGCs. The ischemic theory focuses on the potential development of intraneural ischemia resulting from decreased optic nerve perfusion. This perfusion may result from the stress of lOP on the blood supply to the nerve or from processes intrinsic to the optic nerve. CHAPTER 3: Clinical Evaluation.
Alterations in scleral rigidity may compromise the accuracy of measurements; fo r example, applanation read ings that follow scleral buckli ng procedures may be inaccurately low. Applanation tonom etry measurements are also affected by the central corneal thickness (CCT) . Recently, the importance ofCCT and its effect on the acc uracy of lOP measurement has become better understood. The Go ldmann tonometer is most accurate, with a CCT of 520 ~m; however, population studies have shown a wide range of normal, with mean CCT between 537 and 554 fun.