Curbside Consultation In Glaucoma: 49 Clinical Questions / Edition 1

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Overview


Are you looking for concise, practical answers to those questions that are often left unanswered by traditional glaucoma references? Are you seeking brief, evidence-based advice for common clinical dilemmas? Curbside Consultation in Glaucoma: 49 Clinical Questions provides quick and direct answers to the thorny questions most commonly posed during a “curbside consultation” between glaucoma specialists.

Dr. Dale K. Heuer, and associate editors Dr. Steven J. Gedde and Dr. Richard Lewis, have designed this unique reference in which top glaucoma specialists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with the day-to-day diagnosis and care of glaucoma patients. The unique Q&A format provides quick access to current information related to glaucoma with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate glaucoma pearls.

Curbside Consultation in Glaucoma: 49 Clinical Questions provides information basic enough for residents while also incorporating expert pearls that even high-volume glaucoma specialists will appreciate. General practitioners, residents, fellows, and optometrists alike will benefit from the user-friendly and casual format and the expert advice contained within.

Some of the questions that are answered:
• Which imagining device should I use in my practice?
• How should I set a target intraocular pressure?
• What is “maximum medical therapy” for glaucoma now?
• Which glaucoma medications may be used safely during pregnancy? In children?
• Is selective laser trabeculoplasty better than argon or diode laser trabeculoplasty?
• Which of the new incisional surgical alternatives to trabeculectomy should I consider for my patients? In what clinical settings should I consider them?
• In which patients with glaucoma and cataract should I perform a combined procedure? Cataract surgery alone? Trabeculectomy first?

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Editorial Reviews

Doody's Review Service
Reviewer: Sanjay N Smith, M.D.(University of Pennsylvania School of Medicine)
Description: This concise reference helps general ophthalmologists in arranging treatment plans for their glaucoma patients. Its unique question and answer format allows for easy retention.
Purpose: The purpose is to share knowledge from experts in the field of glaucoma on specific diagnosis and treatment plans. This book is helpful in the understanding and treatment of glaucoma, since it is an evolving field.
Audience: Aimed at general ophthalmologic practitioners, the book helps answer common diagnostic dilemmas we see when treating glaucoma patients. The authors are pioneers in glaucoma research.
Features: This book addresses landmark glaucoma studies that have been used as treatment guidelines. Diagnostic tools such as OCT, HRT, and other imaging modalities are explained in relation to their use with patients. Medical, laser, and surgical therapy are also covered, giving answers to the common questions of when to treat. The diagnostic tools are particularly well covered, with great illustrations and explanations.
Assessment: This is a great resource for general ophthalmologists seeing glaucoma patients. The stepwise question and answer format makes reading easy. It answers common questions and eases the anxiety factor that accompanies some of the uncertainty in glaucoma management.
From the Publisher

"The active clinician will find the answer to most major questions that may be posed in the management of the glaucoma patient, and the usefulness of the answers is rewarding. I think the ophthalmic generalist and probably some glaucoma specialists would do well to study this book, and I recommend this approach for the next addition to the bookshelf of the active clinician."

— Richard Bensinger, MD, Seattle, WA, Ocular Surgery News  

“This concise reference helps general ophthalmologists in arranging treatment plans for their glaucoma patients. Its unique question and answer format allows for easy retention. This book is helpful in the understanding and treatment of glaucoma, since it is an evolving field. The diagnostic tools are particularly well covered, with great illustrations and explanations. This is a great resource for general ophthalmologists seeing glaucoma patients. The stepwise question and answer format makes reading easy. It answers common questions and eases the anxiety factor that accompanies some of the uncertainty in glaucoma management.”   

— Sanjay N. Smith, MD, University of Pennsylvania School of Medicine, Doody Enterprises, Inc.

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Product Details

  • ISBN-13: 9781556428326
  • Publisher: SLACK, Incorporated
  • Publication date: 5/1/2008
  • Series: Curbside Consultation
  • Edition number: 1
  • Pages: 248
  • Product dimensions: 6.80 (w) x 9.90 (h) x 0.60 (d)

Meet the Author


Dale K. Heuer, MD received his undergraduate and medical degrees from Northwestern University. He completed his ophthalmology residency at the Medical College of Wisconsin and a 2-year National Research Service Award–funded glaucoma fellowship at the Bascom Palmer Eye Institute. Dr. Heuer has published extensively on the use of conventional filtering procedures with wound-healing modulation and aqueous shunting procedures for t he management of glaucomas with poor surgical prognoses. He has participated in several glaucoma clinical trials, including the Fluorouracil Filtering Surgery Study, the Collaborative Normal-Tension Glaucoma Study, and the Collaborative Initial Glaucoma Study. Dr. Heuer currently serves as one of the three Vice Chairs of the National Eye Institute–sponsored Ocular Hypertension Treatment Study, one of the three Co-Chairs of the Tube Versus Trabeculectomy Study, a member of the Safety & Data Monitoring Committee of the Ahmed-Baerveldt Comparison Study, and a voting member of the US Food & Drug Administration’s Ophthalmic Device Panel. He is Professor and Chairman of Ophthalmology at the Medical College of Wisconsin, where he also serves as the Director of the Froedtert & Medical College of Wisconsin Eye Institute.
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Table of Contents


Contents

Dedication
About the Editor
About the Associate Editors
Contributing Authors
Preface

SECTION I GENERAL PRINCIPLES
Question 1 How Frequently Does Blindness Develop Among Patients
With Primary Open-Angle Glaucoma? With Ocular Hypertension?
Philip P. Chen, MD
Question 2 Does Reducing Intraocular Pressure Really Prevent Development
and Progression of Glaucoma?
Kuldev Singh, MD, MPH
Question 3 What Are the Most Frequent Causes of Glaucoma-Related
Medical Malpractice Suits? What Can I Do to Minimize My Risk?
E. Randy Craven, MD

SECTION II GLAUCOMA DIAGNOSIS
Question 4 How Should I Clinically Examine the Optic Nerve?
Felipe A. Medeiros, MD, PhD
Question 5 Which Imaging Device Should I Use in My Practice?
Christopher A. Girkin, MD, MSPH, FACS
Question 6 Is There Still a Role for Stereo Disc Photography in the Diagnosis
and Management of Glaucoma?
Paul J. Mackenzie, MD, PhD (co-authored with George A. Cioffi, MD)
Question 7 What Visual Field Tests Should I Use in My Glaucoma Suspects? In My
Patients With Manifest Glaucoma?
Chris A. Johnson, PhD
Question 8 What Is the Best Method for Detecting Glaucoma Development?
Glaucomatous Progression?
Balwantray C. Chauhan, PhD
Question 9 What Are the Implications of Disc Hemorrhages in Glaucoma Patients
or Suspects?
Jody R. Piltz-Seymour, MD
Question 10 How Should I Follow Patients With Anomalous Optic Discs,
Such as Those With Optic Nerve Drusen, Tilted Discs, Myopic Discs,
and Discs With Pits?
Jane Loman, MD (co-authored with Joseph Caprioli, MD)

Question 11 How Is 24-Hour Intraocular Pressure Assessed? Is It Important in Glaucoma
Management or Risk Assessment?
Robert N. Weinreb, MD (co-authored with John H.K. Liu, PhD)
Question 12 Should I Measure Central Corneal Thickness in All Glaucoma Patients?
All Glaucoma Suspects?
James D. Brandt, MD
Question 13 How Frequently Should I Perform Follow-Up Examinations,
Gonioscopy, Visual Field Testing, and Optic Nerve Evaluation in Glaucoma Patients?
Dana M. Blumberg, MD (co-authored with Paul P. Lee, MD)
Question 14 In Which Patients With Glaucoma Should I Perform Neuroimaging,
Cardiovascular Evaluation, and/or Laboratory Testing?
David S. Greenfield, MD
Question 15 When Should I Suspect Nonpupillary Block Secondary Angle-Closure?
What Are the Causes?
Angelo P. Tanna, MD
Question 16 What Systemic Diseases Can Be Associated With Glaucoma?
M. Bruce Shields, MD

SECTION III GENERAL MANAGEMENT
Question 17 Which Patients With Ocular Hypertension Should I Treat?
Husam Ansari, MD, PhD (co-authored with Richard K. Parrish II, MD)
Question 18 How Should I Set a Target Intraocular Pressure?
Gregg A. Heatley, MD
Question 19 How Should I Begin Treatment for a Newly Diagnosed Primary
Open-Angle Glaucoma Patient?
Annisa L. Jamil, MD (co-authored with Richard P. Mills, MD, MPH)
Question 20 Are There Special Issues of Which I Should Be Aware Regarding
Pigment Dispersion Syndrome or Pigmentary Glaucoma?
Celso Tello, MD (co-authored with Robert Ritch, MD)
Question 21 Does Exfoliation Syndrome Increase the Risk of Developing Glaucoma?
Are Patients With Exfoliation Glaucoma More Likely to Progress?
What Other Issues Do These Patients Have?
Robert Ritch, MD
Question 22 How Frequent Is Corticosteroid-Induced Glaucoma?
How Should I Manage It?
Davinder S. Grover, MD, MPH (co-authored with Alan L. Robin, MD)
Question 23 What Methods Are Available to Break an Acute Attack of
Angle-Closure Glaucoma?
Darrell WuDunn, MD, PhD
Question 24 How Should I Manage Neovascular Glaucoma?
Hylton R. Mayer, MD (co-authored with James C. Tsai, MD)
Question 25 How Should I Treat Elevated Intraocular Pressure (With or Without
Glaucoma Damage) Associated With Uveitis?
David Cute, DO (co-authored with Francisco Fantes, MD)
Question 26 What Treatment Options Are Available for a Blind, Painful Eye?
Jonathan S. Myers, MD

SECTION IV MEDICAL THERAPY
Question 27 Is a Unilateral Trial Useful When Starting Treatment With a
Glaucoma Medication?
Angelo P. Tanna, MD (co-authored with Theodore Krupin, MD)
Question 28 Which Glaucoma Medications Should Be Used as Initial Therapy?
Steven L. Mansberger, MD, MPH
Question 29 What Is Maximum Medical Therapy in Glaucoma Management?
Simon K. Law, MD, PharmD
Question 30 Which Glaucoma Medications Can Be Safely Used During Pregnancy?
In Childhood?
Bhavna P. Sheth, MD
Question 31 Is There Still a Role for Miotics in Some Patients? Oral Carbonic
Anhydrase Inhibitors?
Richard K. Lee, MD, PhD
Question 32 How Should I Treat the Glaucoma Patient With Topical
Drug Allergies?
Jess T. Whitson, MD
Question 33 How Can I Improve Patient Adherence?
Silvia Orengo-Nania, MD

SECTION V LASER AND INCISIONAL GLAUCOMA SURGERY
Question 34 When Should I Perform Laser Trabeculoplasty in My Patients
With Open-Angle Glaucoma?
L. Jay Katz, MD (co-authored with Scott J. Fudemberg, MD)
Question 35 When Should I Perform a Prophylactic Laser Iridotomy?
Martin Wand, MD
Question 36 When Is Laser Iridoplasty Used?
Jeffrey M. Liebmann, MD
Question 37 When Is Incisional Glaucoma Surgery Indicated?
Annette Giangiacomo, MD (co-authored with Anne Louise Coleman, MD, PhD)
Question 38 What Can I Do to Reduce the Risks of Complications and Failure
After Trabeculectomy?
Mark Sherwood, FRCP, FRCS, FRCOphth
Question 39 What Can I Do After Trabeculectomy to Improve Its Success Rate?
Martha M. Wright, MD
Question 40 How Do I Manage Chronic Hypotony Maculopathy? How Soon Should I
Intervene?
Paul Palmberg, MD, PhD
Question 41 What Are Causes of Anterior Chamber Shallowing After
Trabeculectomy?
Paul A. Sidoti, MD
Question 42 How Should I Manage a Late-Onset Bleb Leak?
Donald L. Budenz, MD, MPH
Question 43 What Factors Increase the Risk of Bleb-Related Infection?
How Should I Treat Blebitis and Bleb-Related Endophthalmitis
If It Develops?
Richard M. Awdeh, MD (co-authored with Leon W. Herndon, MD
and Terry Kim, MD)
Question 44 In Which Patients With Glaucoma and Cataracts Should I Perform a
Combined Procedure? Cataract Surgery Alone?
Trabeculectomy First?
Bradford J. Shingleton, MD
Question 45 What Are the Indications for Placement of an Aqueous Shunt?
Don Minckler, MD, MS
Question 46 What Is the Best Surgical Approach for Managing Uncontrolled Glaucoma in a Patient Who Had Previous Cataract Extraction or Failed Filtering
Surgery?
Steven J. Gedde, MD
Question 47 Is There a Role for Nonpenetrating Glaucoma Surgery?
Richard A. Lewis, MD
Question 48 What Other New Surgical Techniques Are Available for Glaucoma?
Peter A. Netland, MD, PhD
Question 49 In Which Glaucoma Patients Should I Consider Cyclodestruction?
Malik Y. Kahook, MD

Financial Disclosures

Index

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