Essential topics/experience:
To have become familiar with the following: i. Glaucomatous optic neuropathy: recognition and investigation. ii. Glaucoma suspects: including ocular hypertension. iii. Rubeotic glaucoma: recognition, differential diagnosis and management. iv. Hypotensive agents: topical and systemic drugs affecting intraocular pressure and their complications. v. Glaucoma drainage surgery: indications, complications and their treatment. vi. Hypotony: including its causes and consequences. vii. Liaison: with glaucoma shared care schemes. Practical skills:
i. Applanation tonometry. ii. Assessment of peripheral and central anterior chamber depth including pachometry. iii. Assessment of irido-corneal angle structures by gonioscopy. iv. Methods of optic disc cup measurement. v. Visual field testing, including Goldmann/kinetic perimetry and automated/static perimetry. Background theory/principles:
i. Risk factors for primary open-angle and normal-tension glaucoma. ii. Other secondary glaucomas, including
phacolytic, pigmentary, erythroclastic,
iii. Posner Schlossman syndrome. iv. Chronic closed angle glaucoma. v. Malignant glaucoma. vi. Tonopen, Perkins and non-contact tonometry. vii. Scanning laser ophthalmoscopy and nerve fibre layer analysis. viii. Argon laser trabeculoplasty. ix. Prevention of glaucoma bleb failure e.g. using anti-metabolites x. Drainage tubes and stents. xi. Cycloablation. |
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