By Robert L. Stamper MD, Marc F. Lieberman MD, Michael V. Drake MD
Authored by means of 3 well-liked experts within the box, this article presents complete insurance of diagnostic and therapy modalities for optimum glaucoma administration. Revised all through, this new version provides the most recent advice in medical exam, randomized trials, clinical therapy, laser remedy, and surgeries. hundreds of thousands of illustrations, with many vintage black and white figures from the prior variations supplemented with new colour photographs, depict the positive aspects of glaucomas and step by step methods for his or her administration, whereas increased use of highlighted containers, lists, and precis tables make the cloth effortless to entry. Evidence-based and up to date details on all features of the glaucomas, together with body structure, genetics, interventional trials, and new surgical innovations, supply a well-rounded origin of data for making the main knowledgeable diagnoses and selecting the simplest process remedy. Combines the cumulative adventure of 3 popular glaucoma experts, addressing an entire variety of medical wishes for practitioners of all degrees, for a uniquely written coherent standpoint. contains wide references to present and traditionally vital assets to supply accomplished interpretation of the newest scientific literature. Read more...
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Additional info for Becker-Shaffer’s diagnosis and therapy of the glaucomas.
289 Postural changes in IOP become a problem when one depends on an examination under anesthesia to determine IOP in children or those developmentally challenged. The anesthesia reduces IOP (see below) but the act of placing the patient supine increases the IOP. Furthermore, positioning on the table, straight, Trendelenburg or reverse Trendelenburg will affect the IOP – with Trendelenburg causing an increase in IOP and the reverse Trendelenburg a decrease. All these factors have to be melded into interpreting the measurement.
5 g) on the eye raises IOP. The rise in pressure reflects the dispensability of the ocular coats, a property termed ocular rigidity. All of the tables that relate the change in volume to the IOP assume a normal ocular rigidity, and this introduces a substantial error for some measurements. , myopia,117 strong miotic therapy,117 retinal detachment surgery,118,119 or compressible gas120) give falsely low Schiøtz IOP readings. 121 4 Fig. 4-11 The Impact–Rebound Tonometer (ICare). 122 Although none of these alterations is as important during tonometry as it is during tonography (see Ch.
Wittenberg S: Repeat applanation tonometry with the NCT, J Am Optom Assoc 44:50, 1973. 90. Piltz JR, et al: Momentary fluctuations of intraocular pressure in normal and glaucomatous eyes, Am J Ophthalmol 99:333, 1985. 91. Cho P, Lui T: Comparison of the performance of the Nidek NT-2000 noncontact tonometer with the Keeler Pulsair 2000 and the Goldmann applanation tonometer, Optom Vis Sci 74:51, 1997. 92. Popovich KS, Shields MB: A comparison of intraocular pressure measurements with the XPERT noncontact tonometer and Goldmann applanation tonometry, J Glaucoma 6:44, 1997.