By George A. Cioffi, MD
This part underwent significant revision for the 2008-2009 edition.Topics mentioned contain the epidemiologic facets of glaucoma; hereditary and genetic components; intraocular strain and aqueous humor dynamics; medical overview; clinical administration of and surgical treatment for glaucoma. This variation comprises up to date tables and revised photos, in addition to quite a few new photos illustrating either ailment entities and surgical options.
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Additional resources for 2008-2009 Basic and Clinical Science Course: Section 10: Glaucoma (Basic and Clinical Science Course 2008-2009)
Active secretion accounts for the majority of aqueous production and involves, at least in part, activity of the enzyme carbonic anhydrase II. Ultrafiltration refers to a pressure-dependent movement along a pressure gradient. In the ciliary processes, the hydrostatic pressure difference between capillary pressure and lOP favors fluid movement into the eye, whereas the oncotic gradient between the two resists fluid movement. The relationship between secretion and ultrafiltration is not known. Diffusion is the passive movement of ions across a membrane related to charge and concentration.
Iridoglau- the ciliary body and scleral spur and arborizing over of the myofibroblasts accompanying these vessels It is important to distinguish PAS from iris processes (the uveal meshwork), open and lacy and follow the normal curve of the angle. The angle structures in the open spaces between the processes. Synechiae are more solid or sheetlike They are composed of iris stroma and obliterate the angle recess. A 43 which are are visible (Fig 3-7). 6 Goniophotos of neovascularization of the angle.
Mills RP. If intraocular pressure measurement is only an estimate-then what? Ophthalmology. 2000; 107: I 807 -1808. Shah S. Accurate intraocular pressure measurement-the Ophthalmology. myth of modern ophthalmology? 2000; I 07: 1805-1807. Sommer A, Tielsch )M, Katz ), et al. Relationship between intraocular pressure and primary open angle glaucoma among white and black Americans. The Baltimore Eye Survey. Arch Ophthalmol. 1991;109:(8)1090-1095. CHAPTER 3 Clinical Evaluation History and General Examination Appropriate management of glaucoma depends on the clinician's ability to diagnose the specific form of glaucoma in a given patient, to determine the severity of the condition, and to detect progression in that patient's disease status.