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Ординатура / Офтальмология / Английские материалы / Terminology and Guidelines for Glaucoma 3rd edition_European Glaucoma Society_2008

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TERMINOLOGY

AND

GUIDELINES

FOR

GLAUCOMA

3rd Edition

www.eugs.org

ISBN 978-88-87434-28-6

Editrice Dogma® S.r.l.

Via Domenico Cimarosa 55r 17100 Savona · Italy www.dogma.it

Printed in 2008

Copyright © 2008 European Glaucoma Society

No parts of this text, illustrations, tables or flowcharts can be reproduced, copied, translated or stored by any means including magnetic, electronic or multimedia formats without written permission of the European Glaucoma Society.

EUROPEAN GLAUCOMA SOCIETY

TERMINOLOGY AND GUIDELINES FOR GLAUCOMA

3rd Edition

ACKNOWLEDGEMENT

This work was made possible by

unrestricted educational grants from the following sponsors

ALCON

ALLERGAN

MERCK SHARP & DOHME

PFIZER

SANTEN

Contents

 

 

Page

FOREWORD

7

INTRODUCTION CHAPTER

11

FLOWCHARTS

37

CHAPTER 1 - PATIENT EXAMINATION

 

1.1

Intraocular pressure (IOP)

61

1.2

Gonioscopy

67

1.3

Optic nerve head and retinal nerve fi bre layer

74

1.4

Perimetry

82

1.5

Blood fl ow

89

CHAPTER 2 - CLASSIFICATION AND TERMINOLOGY

 

2.1

Primary Congenital Forms

93

2.2

Primary Open-Angle Glaucomas

95

2.3

Secondary Open-Angle Glaucomas

98

2.4

Primary Angle-Closure

103

2.5

Secondary Angle-Closure

109

CHAPTER 3 - TREATMENT PRINCIPLES AND OPTIONS

 

3.1

General Principles of Glaucoma Treatment

117

3.2

Target IOP and Quality of Life

119

3.3

Antiglaucoma Drugs

122

3.4

Adherence, Compliance and Persistence in Glaucoma

144

3.5

Laser Surgery

146

3.6

Incisional Surgery

153

3.7

Cataract and Glaucoma Surgery

157

CHAPTER 4 - TREATMENT GUIDELINES

 

4.1

Primary Congenital Forms

173

4.2

Primary Open-Angle Glaucomas

174

4.3

Secondary Open-Angle Glaucomas

176

4.4

Primary Angle-Closure (PAC)

178

4.5

Secondary Angle-Closure Glaucomas

181

5

Foreword

It gives me great pleasure to introduce thus, the third edition of the European Glaucoma Society ‘Guidelines’. In the 5 years since the last edition the Guidelines have been accepted as one of the standard texts in glaucoma, widely distributed and adopted across Europe. Since the last edition signifi cant changes have taken place in the diagnosis and management of glaucoma: we have a much clearer understanding of the pathogenesis of open angle glaucoma, and have seen a revision of the terminology and mechanisms for angle closure. There have been advances in both diagnosis and method of followup of chronic glaucoma. Treatment both medical and surgical has improved with new drug combinations and new surgical techniques entering the mainstream of practice. More importantly, there have been improvements in measuring the effect that glaucoma has on the patient, how it affects Quality of life. All these changes and more appear in the third edition.

The Guidelines owe much to the enthusiasm and effort put in by the writing team, headed by Carlo Traverso with Anders Heijl, and the many co-opted helpers. Without them this edition would not have been possible. The new ‘Guidelines’ build on the reputation established by the earlier versions, and should take forward the understanding of glaucoma in Europe.

 

 

Roger Hitchings

 

 

EGS President

The Guidelines Task Force

Contributors and Reviewers

Production Team

Anders Heijl (Editor)

Alfonso Anton

Roberta Bertagno

Carlo E. Traverso (Editor)

Alessandro Bagnis

Laura Guazzi

Augusto Azuara-Blanco

Keith Barton

Maria Musolino

Stefano Gandolfi

Boel Bengtsson

Stefania Rela

Franz Grehn

Graziano Bricola

Valentina Scanarotti

Gábor Holló

Howard Cohn

 

Anton Hommer

Francesca Cordeiro

Executive Committee

Michele Iester

Fabio De Feo

 

Clive Migdal

Paul Foster

Roger Hitchings (President)

John Thygesen

David Garway Heath

Franz Grehn

Fotis Topouzis

Peng Khaw

Anders Heijl

 

Yves Lachkar

Gabor Hollo

 

Hans Lemij

Yves Lachkar

 

Selim Orgul

Clive Migdal

 

Marina Papadia

Norbert Pfeiffer

 

Leopold Schmetterer

John Thygesen

 

Riccardo Scotto

Carlo E. Traverso

 

Ingeborg Stalmans

Anja Tuulonen

 

Anja Tuulonen

 

 

Thierry Zeyen

 

The European Glaucoma Society website is: www.eugs.org

7

INTRODUCTION CHAPTER