HANDBOOK OF GLAUCOMA by Anthony B. Litwak OD

By Anthony B. Litwak OD

Presents functional scientific information regarding the administration of this ailment. Covers crucial medical manifestations, diagnostic applied sciences and healing modalities, and reports fresh advancements within the pathogenesis and administration of glaucoma.

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Thus many ocular hypertensive patients, whose IOP may have been overestimated because of raised CCT, may be reclassified as normal once the CCT is measured. Alternately, patients with thin corneas may have their IOPs underestimated, although the correction factor is unlikely to exceed 4–5 mmHg. After refractive surgery, the CCT is altered and tonometry results must be interpreted with caution. Underestimation of the IOP by 2–4 mmHg is probably common after LASIK. BookID=95266&FileName=Page_25....

Reduced trabecular meshwork height in juvenile primary open-angle glaucoma. Arch Ophthalmol 1996;114:660–3. BookID=95266&FileName=Page_47.... Page 47 Tello C, Liebmann J, Potash SD et al. Measurement of ultrasound biomicroscopy images: intraobserver and interobserver reliaility. Invest Ophthalmol Vis Sci 1994;35:3549–53. Tello C, Potash S, Liebmann J et al. Soft contact lens modification of the ocular cup for high resolution ultrasound biomicroscopy. Ophthalmic Surg 1994;24:563–4. Urbak SF. Ultrasound biomicroscopy.

Angle-closure glaucomas are best classified according to the anatomical findings produced by the sequence of events that results in iridotrabecular contact. Forces acting at four anatomical levels may alter the configuration of the angle and may predispose to angle closure glaucoma. These include the iris (pupillary block), the ciliary body (plateau iris), the lens (phacomorphic glaucoma), and forces posterior to the lens (malignant glaucoma). BookID=95266&FileName=Page_40.... 7 (A) The iris has a convex configuration (white arrow) in pupillary block angle closure because of the relative pressure differential between the posterior chamber and the anterior chamber.

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