Oct Glaucoma

CONCEPT existing in the diagnosis and management of glaucoma

(Published by Cipla India which will be distributed to Indian ophthalmologists)

Dr. M. Jain, a leading glaucoma specialist, is currently Medical Director and Chief Ophthalmologist MR J Jain Eye Hospital and Institute Jaipur, India. He has published textbook on glaucoma and a book on EYE INFLAMMATION and published 130 scientific papers in India and abroad. In the year 2007, he published a book of public education in Hindi on "THE EYES: SAFETY and Treatment"

He received Life Time Achievement Award Rajasthan Ophthalmological Society in 2002 and LIFE TIME Achievement Award by the All India Ophthalmological Society, 2006

Mr. Jain is awarded the gold medal by the National Academy of Medical Sciences' research and clinical work in the field of "glaucoma and distribution of drugs to the eye."

Currently, Dr. Jain is the Chairman, Dr MR J Charitable Trust, the President, Lucky seventh, Medicos SMS and coordinator of State for the National Academy of Medical Sciences.

Current concepts in diagnosis and

Management of glaucoma

PROF. MRJAIN, MS, FICS (USA), FAMS, FACLP (London) MRJINSTITUTE Medical Director

JAIPUR JAIN EYE & Hospitals

E MAIL: drmrjain55@gmail.com

There has been a revolutionary change in the understanding, diagnosis and management of glaucoma. Earlier, glaucoma was defined as a condition of intraocular pressure, not compatible with the health and function of the eye. Currently, the American Academy of Ophthalmology has defined glaucoma as an optic neuropathy with optic nerve damage structural feature associated with the progressive death of retinal ganglion cells, loss of nerve fibers and loss of visual field. The importance of intraocular pressure above 21.0 mm Hg as a singular factor has been greatly reduced since about one third of patients could show glaucomatous damage to the classic intraocular pressure normal (1.2) or in spite of controlled IOP after glaucoma surgery, it may be the gradual loss of fields.

The definition of glaucoma based on visually important target organ damage (3). It is strictly the opinion that IOP-related damage can occur at all levels of IOP, and thus almost 50 percent of patients with glaucoma remain undiagnosed (4-6). However, Baltimore Eye Survey and Aravind Eye comprehensive study reveal that the relationship between intraocular pressure and the prevalence of glaucoma is positive. In general, 21mm Hg is considered a cutoff point.

Top

TERMS modern diagnostic

Optic nerve head IMMAGING

In addition to direct ophthalmoscopy well established and slit lamp indirect ophthalmoscope using 90 dioptre lens, new diagnostic tools are available to view and accurately document the subtle changes in the disc, according to the contour, color, cupping and health of neuroretinal rim. (7-10) are as follows:

1. PHOTOGRAPHY TECHNIQUE

(A) Photographs STEREO

2. Image analysis COMPUTERIZED

(A) Optical coherence tomography (OCT)

(B) Confocal laser scanning TOMOGRAPHY (SCTL)

(C) SCANNING LASER polarimetry (SLP).

These methods are particularly useful to quantitatively evaluate retinal nerve fiber layer (RNFL) thickness in addition to changes in the disc for suspected glaucoma. It is established that the retinal nerve fiber layer in glaucoma may show thinning even before the changes are detected in the field (11-14).

Comments

There are no comments.

Leave a Comment