Download PDF by American Academy of Ophthalmology, George A. Cioffi MD: 2014-2015 Basic and Clinical Science Course (BCSC): Section

By American Academy of Ophthalmology, George A. Cioffi MD

ISBN-10: 1615255648

ISBN-13: 9781615255641

Offers a entire dialogue of glaucoma, together with epidemiology and the social and monetary affects of the affliction; hereditary and genetic components; intraocular strain and aqueous humor dynamics; and scientific evaluate and surgical treatment. a number of the sessions of scientific remedy for glaucoma are defined when it comes to efficacy, mechanism of motion and defense. comprises a number of photos illustrating affliction entities and surgical techniques.

Upon final touch of part 10, readers will be capable to:

Identify the epidemiologic positive aspects of glaucoma, together with the social and fiscal affects of the disease
Describe the scientific evaluate of the glaucoma sufferer, together with historical past and basic exam, gonioscopy, optic nerve exam, and visible field
Describe the medical positive factors, overview, and therapy of basic open-angle glaucoma and normal-tension glaucoma
List many of the scientific good points of and healing methods for the first and secondary open-angle glaucomas

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Extra info for 2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma

Sample text

Early stages of neovascularization of the anterior segment Figure 3-1 Gonioscopic appearance of a normal anterior chamber angle . 2, Peripheral iris: a, insertion; b, curvature; c, angular approach . 3, Ciliary body band . 4, Sciera I spur. 5, Trabecular meshwork: a, posterior; b, mid ; c, anterior. 6, Schwalbe line. Asterisk, Corneal optical wedge. , ill F • CHAPTER 3: A B C D Clinical Evaluation • 31 Figure 3-2 A, Normal open angle. Gonioscopic photograph shows trace pigmentation of the posterior trabecular meshwork and normal insertion of the iris into a narrow ciliary body band.

The retinal capillaries at the disc margin, but they also have posterior anastomoses with the prelaminar capillaries of the optic nerve. The temporal nerve fiber layer may have an arterial contribution from the cilioretinal artery, when it is present. The prelaminar region is principally supplied by direct branches of the short posterior ciliary arteries and by branches of the circle of Zinn -Haller, when it is present. In eyes with a well-developed circle of Zinn-Haller, arterial branches emerge to supply both the prelaminar and the laminar regions.

Reprinted with permission from Wright KW, ed. Textbook of Ophthalmology. ) II CHAPTER 3: Clinical Evaluation • 39 • Figure 3-9 Forms of anterior chamber angle injury associated with blunt trauma, showing cross-sectional and corresponding gonioscopic appearance. A, Angle recession (tear between longitudinal and circular muscles of ciliary body). B, Cyclodialysis (separation of ciliary body from scleral spur) with w idening of suprachoroidal space . C, lridodia lysis (tear in root of iris). D, Trabecular damage (tear in anterior portion of meshwork, creating a flap that is hinged at the scleral spur) .

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2014-2015 Basic and Clinical Science Course (BCSC): Section 10: Glaucoma by American Academy of Ophthalmology, George A. Cioffi MD


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