- •Preface
- •President’s letter
- •Contributors
- •Neuro-Ophthalmology
- •Ten easy mistakes to avoid in your next neuro-ophthalmic patient
- •Life-threatening diplopia with pupil involvement
- •Optic neuritis: What’s hot and what’s not…
- •What to tell your next patient with non-arteritic anterior ischemic optic neuropathy (NAION) … other than “nothing can be done”
- •MRI and CT: Which is which, why to order, and when
- •Optical Coherence Tomography (OCT) in neuro-ophthalmology
- •Questions and Answers
- •Glaucoma
- •Risk factors for open-angle glaucoma
- •Does either sex or ethnicity matter in glaucoma?
- •Low tension glaucoma: A bad concept that just won’t die. So how do you deal with it?
- •The myth of the glaucoma continuum
- •Landmark clinical trials in glaucoma: Questions and answers
- •What have we learned from the Ocular Hypertension Treatment Study thus far?
- •Psychophysics
- •Update on short wavelength automated perimetry (SWAP) and frequency doubling technology (FDT) in glaucoma and neuroophthalmologic disorders*
- •Questions and Answers
- •Anterior Segment Surgery
- •Toxic anterior segment syndrome
- •Questions and Answers
- •How to stay out of trouble managing trabeculectomies
- •Questions and Answers
- •Questions and Answers
- •Slit lamp procedures in postoperative glaucoma management
- •Index of authors
N e w O r l e a n s A c a d e m y o f O p h t h a l m o l o g y
Eye on
the Bayou
New Concepts in Glaucoma,
Cataract and Neuro-Ophthalmology
e d i t e d b y J o n a t h a n D . N u s s d o r f
Kugler Publications, The Hague, The Netherlands
EYE ON THE BAYOU
NEW CONCEPTS IN GLAUCOMA, CATARACT
AND NEURO-OPHTHALMOLOGY
afafasfsafsafds
EYE ON THE BAYOU NEW CONCEPTS IN GLAUCOMA, CATARACT AND NEUROOPHTHALMOLOGY
edited by Jonathan D. Nussdorf
Proceedings of the 54th Annual Symposium of the New Orleans Academy of Ophthalmology, New Orleans, LA, USA, February 18-20, 2005
Kugler Publications/The Hague/The Netherlands
ISBN 10: 90-6299-209-9
ISBN 13: 978-90-6299-209-6
Distributors:
For the USA and Canada: Pathway Book Service
4 White Brook Road
Gilsum, NH 03448 U.S.A.
email: pbs@pathwaybook.com
For all other countries: Kugler Publications P.O. Box 97747
2509 GC The Hague, The Netherlands Telefax (+31.70) 3300254
website: www.kuglerpublications.com
© Copyright 2006 Kugler Publications
All rights reserved. No part of this book may be translated or reproduced in any form by print, photoprint, microfilm, or any other means without prior written permission by the publisher. Kugler Publications is an imprint of SPB Academic Publishing bv, P.O. Box 97747,
2509 GC The Hague, The Netherlands
Table of contents |
v |
Table of Contents |
|
Preface |
vii |
President’s letter |
viii |
Contributors |
ix |
Neuro-Ophthalmology |
|
Ten easy mistakes to avoid in your next neuro-ophthalmic patient, |
|
Andrew G. Lee |
3 |
Life-threatening diplopia with pupil involvement, Andrew G. Lee |
11 |
Optic neuritis: what’s hot and what’s not…, Andrew G. Lee |
19 |
What to tell your next patient with non-arteritic anterior ischemic optic |
|
neuropathy (NAION) … other than “nothing can be done”, Andrew G. Lee |
25 |
MRI and CT: Which is which, why to order, and when, Andrew G. Lee |
31 |
Optical Coherence Tomography (OCT) in neuro-ophthalmology, Andrew G. Lee |
|
and Culver Boldt |
39 |
Round Table: The pale nerve, Andrew Lee, Moderator |
47 |
Questions and Answers, Jill Koury, Presiding Physician |
53 |
Glaucoma |
|
Risk factors for open-angle glaucoma, Harry A. Quigley |
61 |
Does either sex or ethnicity matter in glaucoma?, Eve J. Higginbotham |
65 |
Low tension glaucoma: A bad concept that just won’t die. So how do you deal |
|
with it?, Harry A. Quigley |
75 |
Neuroprotection strategies from the research lab (’cause there aren’t any ready |
|
for prime time yet), Harry A. Quigley |
79 |
The myth of the glaucoma continuum, Paul Palmberg |
83 |
Landmark clinical trials in glaucoma: Questions and answers, Kuldev Singh |
89 |
Practical implications of the Collaborative Normal Tension Glaucoma Study, |
|
Harry A. Quigley |
99 |
What have we learned from the Ocular Hypertension Treatment Study thus far?, |
|
Eve J. Higginbotham |
103 |
Round Table: Critiquing the clinical trials, Eve Higginbotham, Moderator |
111 |
Psychophysics |
|
Update on short wavelength automated perimetry (SWAP) and frequency |
|
doubling technology (FDT) in glaucoma and neuro-ophthalmologic |
|
disorders, Chris A. Johnson |
123 |
Questions and Answers, Jonathan Calkwood, Presiding Physician |
135 |
New developments in perimetry, including SITA, ZEST and TOP, |
|
Chris A. Johnson |
137 |
vi |
Table of contents |
|
|
|
|
Evaluation of visual field loss in glaucoma: Progression and classification of |
|
|
perimetric damage, Chris A. Johnson |
|
147 |
Round Table: Detecting and monitoring progression, Harry A. Quigley, |
|
|
Moderator |
|
159 |
Anterior Segment Surgery |
|
|
Toxic anterior segment syndrome, James Gills |
|
171 |
Questions and Answers, Barry Leader, Presiding Physician |
|
173 |
Laser trabeculoplasty – background, mechanisms, clinical applications, |
|
|
Robert Noecker |
|
177 |
How to stay out of trouble managing trabeculectomies, Harry A. Quigley |
187 |
|
Simple strategies to improve the safety of trabeculectomy: The Moorfields |
|
|
Safer Surgery System, Peng T. Khaw, Jonathan Clark and Annegret Dahlmann 195 |
||
Round Table: Building a better drainage system – perfecting the |
|
|
trabeculectomy, Katherine Loftfield, Moderator |
|
207 |
Questions and Answers, Jill Koury, Presiding Physician |
|
215 |
Questions and Answers, Ramesh Ayyala, Presiding Physician |
|
221 |
Slit lamp procedures in postoperative glaucoma management, Paul Palmberg |
225 |
|
Round Table: Surgical choices: Trabs, tubes and Betadine, Paul Palmberg, |
|
|
Moderator |
|
237 |
Table of contents |
vii |
|
|
Preface
The 54th annual symposium of the New Orleans Academy of Ophthalmology was held February 18-20, 2005. This Academy meeting was devoted to current topics pertaining to glaucoma, cataract surgery and neuro-ophthalmology. The meeting consisted of formal lectures, roundtable discussions with questions from the audience and workshop presentations.
I have deep appreciation for those who serve as mentors to us and participated in this meeting, they help to elevate the level of care we provide to our patients. Their active participation made this meeting worthwhile. I would like to acknowledge our sponsors for providing unrestricted financial support, which helped to defer the expense of this medical education meeting and subsequent publication. Sincere thanks go to those who participated on the Program Committee and special acknowledgement is given to Dr. Scott Lanoux, President of the New Orleans Academy of Ophthalmology and Amber Howell, Executive Director for their hard work in organizing this symposium.
Jonathan D. Nussdorf, MD
Program Chairman
Ochsner Clinic Foundation
New Orleans, Louisiana, USA
I make progress by having people around me who are smarter than I am and listening to them. And I assume that everyone is smarter
about something than I am.
Henry J. Kaiser
viii |
Table of contents |
|
|
President’s letter
On behalf of the Board of Directors of the New Orleans Academy of Ophthalmology, I would like to congratulate and give my sincerest thanks to the program committee and program chair for the success of the 54th Annual Symposium, February 18-20, 2005. Each year I continue to marvel at the quality of the faculty and the program, and this year was no exception. The end result of such excellence culminates with this volume of NOAO Transactions. The editor, Dr Jonathan Nussdorf, has put together an outstanding text derived from the various lectures, roundtables and question and answer sessions that will serve as an important reference in ophthalmologic literature for the benefit of the ophthalmologic community for years to come.
I would also like to draw attention to the Eye, Ear, Nose and Throat Foundation, without whose generous support neither the transactions nor the symposium would be possible. The Foundation was created in 1981 to support The Eye, Ear, Nose and Throat Hospital, which was founded in 1889 for the purpose of providing medical care to the indigent population of New Orleans. Their mission is to provide funding for medical research and education for ophthalmology and otolaryngology as well as direct patient care.
As president of the NOAO, I have been extremely fortunate to have such a dedicated board of directors and staff. Their energy and passion towards providing quality ophthalmic education to the region cannot be understated. Our Executive Director, Amber W. Howell, has been an integral part of this organization and of the success of the Symposium for the past four years, and I commend her for her dedication and drive.
Finally, I would like to thank Kugler Publications for their editorial expertise over the many years. However, the true success of this symposium and the subsequent transactions would not have been possible without the enthusiastic and continuing support of the ophthalmologists of New Orleans and the Gulf Coast who are members of the Academy. To them, I give my appreciation.
Scott D. Lanoux, MD
President, New Orleans Academy of Ophthalmology
Contributors |
ix |
|
|
CONTRIBUTORS
JAMES P. GILLS, M.D.
Clinical Professor of Ophthalmology
University of South Florida
Tarpon Springs, FL, U.S.A.
EVE J. HIGGINBOTHAM, M.D.
Dean and Senior Vice President for Academic Affairs
Morehouse School of Medicine
Atlanta, GA, U.S.A.
CHRIS A. JOHNSON, Ph.D.
Director of Diagnostic Research and Senior Scientist
Discoveries in Sight, Devers Eye Institute
Portland, OR, U.S.A.
PENG T. KHAW, M.D., PH.D., FRCS, FRCOphth
Professor of Glaucoma and Ocular Healing
Moorfields Eye Hospital and Institute of Ophthalmology
London, England
x |
Contributors |
|
|
ANDREW G. LEE, M.D.
Professor of Ophthalmology, Neurology, and Neurosurgery
University of Iowa
Iowa City, IA, U.S.A.
ROBERT J. NOECKER, M.D.
Vice Chair Clinical Affairs, Associate Professor of
Ophthalmology
University of Pittsburgh School of Medicine
Pittsburgh, PA, U.S.A.
PAUL PALMBERG, M.D., Ph.D
Professor of Ophthalmology
Bascom Palmer Eye Institute
University of Miami School of Medicine
Miami, FL, U.S.A.
HARRY A. QUIGLEY, M.D.
A. Edward Maumenee Professor
Wilmer Eye Institute, Johns Hopkins University
Baltimore, MD, U.S.A.
Contributors |
xi |
|
|
KULDEV SINGH, M.D.
Professor of Ophthalmology
Stanford University School of Medicine
Stanford, CA, U.S.A.
RICHARD J. MACKOOL, M.D. - Guest Speaker
Director, The Mackool Eye Institute
Senior Attending Surgeon, New York Eye & Ear Infirmary
Astoria, NY, U.S.A.
MARC F. LIEBERMAN, M.D. - Guest Panelist
Physician, Glaucoma Consultants of the Bay Area
San Franscisco, CA, U.S.A.
xii |
Contributors |
|
|
