Glaucoma

11–13 of 13 articles Page 2 of 2
  1. 1 Apr 2021 3 min read

    Five things you should know about Micropulse LASER in Glaucoma Management

    Glaucoma is a leading cause of irreversible blindness worldwide, with more than 70 million people affected. Traditionally treatment options include topical medications, laser trabeculoplasty, incisional surgeries, glaucoma drainage implants (GDD), and cycloablative procedures. GDD and ciliary body destruction is generally reserved for refractory or end-stage glaucoma in eyes with poor visual potential. Transscleral cyclophotocoagulation (TSCPC) Transscleral cyclophotocoagulation (TSCPC) is a cyclodestructive procedure designed to target the melanin in the pigmented ciliary body epithelium, thereby decreasing the rate of aqueous humor production. Numerous studies have confirmed the IOP-lowering ability of TSCPC and also reported the risk of developing serious complications with this procedure, such as persistent ocular inflammation, vision loss, hypotony, phthisis bulbi, and rarely sympathetic ophthalmia. Therefore, TSCPC, which conventionally uses the continuous-wave diode laser, has b

  2. 1 Apr 2021 14 min read

    Valved Drainage Devices for Pediatric Glaucoma

    Introduction Pediatric glaucoma includes a wide variety of conditions that result in elevated intraocular pressure and optic nerve damage, ranging from primary congenital glaucoma since birth to developmental glaucoma associated with other diseases and acquired glaucoma secondary to multiple causes. Depending on the age of the patient, it presents with particular features and circumstances that need to be taken into account and frequently require surgical intervention. Glaucoma drainage implant surgery has a definitive role in managing infants and other children with glaucoma refractory to angle surgery and trabeculectomy. GDDs are even preferred nowadays as a primary procedure in selected cases where other surgeries are contraindicated or have very few chances to succeed. Furthermore, it has been found that 20% of pediatric glaucoma patients often require 2 or more surgical procedures for adequate IOP control, and GDDs are frequently used in the second or third surgical attempt.1 Glau

  3. 1 Apr 2021 9 min read

    Ten Pearls in Interpreting Humphrey Visual Field

    A visual field encompasses the area of space or area of the external environment that is seen by a steadily fixating eye. Advances in the technology of visual field testing have changed our clinical perception of normal and abnormal fields of vision. It is of great importance to diagnose and monitor optic nerve diseases, notably glaucoma. Automated perimetry is now the current gold standard for both diagnosis and follow-up of glaucoma. The Humphreys visual field analyzer by Zeiss technology is the most widely used machine for visual field assessment. In this write-up, we will illustrate ten pearls to interpret a Humphrey’s Automated visual field printout. 1. Pre-requisites For a reliable visual field test, a good understanding between the operator (usually an ophthalmic technician) and the patient is important. It is a good practice for the technicians to undergo self-testing in order to get an idea about the procedure and would help in explaining the procedure better. The patient need