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
