Primary
Angle-Closure and
Angle-Closure Glaucoma
by Svend Vedel Kessing and John Thygesen
Kugler Publications, Amsterdam, The Netherlands
Table of Contents I
Primary angle-closure and
angle-closure glaucoma
by
Svend Vedel Kessing and John Thygesen
Kugler Publications/The Hague/The Netherlands
II Table of Contents
ISBN 10: 90-6299-211-0
ISBN 13: 978-90-6299-211-9
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© Copyright 2007 Kugler Publications
All rights reserved. No part of this book may be translated or reproduced in any form by print,
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Kugler Publications is an imprint of SPB Academic Publishing bv, P.O. Box 20538
1001 NM Amsterdam, The Netherlands
Table of Contents III
TABLE OF CONTENTS
Preface |
VII |
By Svend Vedel Kessing and John Thygesen |
|
Introduction |
1 |
Aims And Methods |
1 |
Detection of Primary Angle-closure (PAC) |
7 |
Limbal Chamber Depth Measurement (LCD) |
7 |
Methodology |
7 |
Sources of Error |
10 |
Diagnostic Methods in PAC |
11 |
Axial Chamber Depth Measurement (ACD) |
11 |
Methodology |
13 |
Optical Pachymetry |
13 |
Ultrasonic or Laser Based Chamber Depth Measurement |
14 |
Laser Scanning Pachymetry (Visante Oct System) |
15 |
Sources of Error |
16 |
Gonioscopy |
16 |
Introduction |
16 |
Goniolenses and Their Uses |
17 |
Posner’s 4-mirror Indentation Lens |
18 |
Goldmann’s Gonioscopy Lens |
23 |
Gonioscopy Methods with PAC |
25 |
Chamber Angle: Classification and Definitions |
25 |
Standardised PAC Gonioscopy Methodology |
29 |
Start the Examination with the Posner Lens 4-mirror |
30 |
Lens |
|
Continuation with Goldmann’s Gonioscopy Lens |
32 |
Gonioscopy Findings |
32 |
Normal Anatomy of the Chamber Angle |
32 |
Glaucoma Pathology in the Chamber Angle |
41 |
Provocation Test |
45 |
Dark-room Test – Prone Position |
45 |
Ultrasound Biomicroscopy (UBM) |
46 |
IV Table of Contents |
|
Main Classification of PAC |
49 |
Introduction |
49 |
Main Classification and Methods of Classification |
50 |
Main Groups and Subclassification of PAC |
55 |
Group I: PAC with Pupil Block |
55 |
Pathophysiology and Pathogenesis |
55 |
Detection and Diagnosis |
57 |
Subclassification with Specific Treatment and Case |
58 |
Histories |
|
YAG-laser Iridotomy: Evaluation |
67 |
YAG-laser Iridotomy in General |
69 |
Group II: PAC with Plateau Iris |
70 |
Pathophysiology and Pathogenesis |
71 |
Detection and Diagnosis |
73 |
Subclassification with Specific Treatment and Case |
75 |
Histories |
|
Argon-laser Iridoplasty: Evaluation |
80 |
Argon-laser Iridoplasty in General |
83 |
Group III: PAC Mixed Group (I+II) |
84 |
Pathophysiolology and Pathogenesis |
84 |
Detection and Diagnosis |
84 |
Subclassification with Specific Treatment and Case Reports |
85 |
YAG-laser Iridotomy/argon-laser Iridoplasty: Evaluation |
91 |
YAG-laser Iridotomy/argon-laser Iridoplasty In General |
93 |
Treatment Procedures with PAC |
95 |
By J. Thygesen |
95 |
Principles of Treatment with Acute PAC I, II and III |
|
Treatment of Acute PAC I, II and III (Previously “Acute |
96 |
Glaucoma”) |
|
YAG-laser Iridotomy |
100 |
Indications |
100 |
Contraindications |
100 |
Technique26 |
101 |
Argon-laser Iridoplasty |
102 |
Indications |
103 |
Relative Iridoplasty Indications |
104 |
Contraindications |
104 |
Technique |
104 |
Fistulating Operation |
105 |
Indication |
106 |
Table of Contents V
Complications |
106 |
Prevention of Post-operative Hyperfistulation |
107 |
Post-operative Treatment |
107 |
References |
109 |
Rights of illustrations |
112 |
Index |
113 |
VI Table of Contents