Download 2008-2009 Basic and Clinical Science Course: Section 10: by George A. Cioffi, MD PDF

By George A. Cioffi, MD

This part underwent significant revision for the 2008-2009 edition.Topics mentioned comprise the epidemiologic features of glaucoma; hereditary and genetic elements; intraocular strain and aqueous humor dynamics; scientific review; scientific administration of and surgical remedy for glaucoma. This variation includes up to date tables and revised photographs, in addition to quite a few new pictures illustrating either disorder entities and surgical concepts.

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Additional resources for 2008-2009 Basic and Clinical Science Course: Section 10: Glaucoma (Basic and Clinical Science Course 2008-2009)

Sample text

In addition, fundus examination may reveal posterior segment pathology such as hemorrhages, effusions, masses, inflammatory lesions, retinovascular occlusions, diabetic retinopathy, or retinal detachments that can be associated with the glaucomas. Funduscopy is best performed with a dilated pupil. Gonioscopy Gonioscopy is an essential diagnostic tool and examination technique used to visualize the structures of the anterior chamber angle. Mastering the various techniques of gonioscopy is crucial in the evaluation of glaucoma patients.

Aqueous Humor Formation Aqueous humor formation is a biological process that is subject to circadian rhythms. Aqueous humor is formed by the ciliary processes, each of which is composed of a double layer of epithelium over a core of stroma and a rich supply of fenestrated capillaries (Fig 2-1). Each of the 80 or so processes contains a large number of capillaries, which are supplied mainly by branches of the major arterial circle of the iris. The apical surfaces of both the outer pigmented and the inner nonpigmented layers of epithelium face each other and are joined by tight junctions, which are an important component of the bloodaqueous barrier.

One of the external collector vessels can be seen adjacent to Schlemm's canal (red arrow). {Part A reproduced with permission from Shields MB. Textbook of Glaucoma. 3rd ed. Baltimore. Williams & Wilkins; 7992. Part B courtesy of Nasreen A. Syed, MOl 20 . 5 llL/min, and its composition is altered as it flows from the posterior chamber, through the pupil, and into the anterior chamber. This alteration occurs across the hyaloid face of the vitreous, the surface of the lens, the blood vessels of the iris, and the corneal endothelium and is secondary to other dilutional exchanges and active processes.

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