Not every ring scotoma is due to glaucoma

Tip of the month

Not every ring scotoma is due to glaucoma

In advanced stages of glaucoma, patients may present with an annular scotoma, also known as ring scotoma, where the retinal sensitivity is...

March 14, 2025

Avoid premature removal of the intraluminal suture in glaucoma drainage devices to minimize the risk of hypotony

Tip of the month

Avoid premature removal of the intraluminal suture in glaucoma drainage devices to minimize the risk of hypotony

While prolene suture removal is an effective method for reducing IOP at the slit-lamp, removing it too early can lead to postoperative hypotony and...

February 14, 2025

Insertion of an intraluminal ripcord suture to prevent early post operative hypotony

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Insertion of an intraluminal ripcord suture to prevent early post operative hypotony

Hypotony is a common complication associated with the implantation of various unvalved glaucoma drainage devices. To reduce the risk of this...

January 15, 2025

How do you communicate numbers to your glaucoma patient?

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How do you communicate numbers to your glaucoma patient?

Shared decision making can reduce overtreatment, which places an unnecessary burden on the healthcare system and places the patient at risk of an...

December 09, 2024

Fatal beauty: which cosmetics are your glaucoma patients using?

Tip of the month

Fatal beauty: which cosmetics are your glaucoma patients using?

Colorism refers to the difference in social treatment between light-skinned and dark-skinned people. This sociological concept is a result of...

November 10, 2024

Using anterior segment OCT to risk-stratify primary angle closure suspects

Tip of the month

Using anterior segment OCT to risk-stratify primary angle closure suspects

Gonioscopy is the clinical standard for detecting patients at risk for primary angle closure glaucoma (PACG). However, anterior chamber angle...

October 13, 2024

Balancing Glaucoma Care: Tackling Overdiagnosis and Overtreatment to Preserve Patient Quality of Life

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Balancing Glaucoma Care: Tackling Overdiagnosis and Overtreatment to Preserve Patient Quality of Life

The Science behind the Tip In contrast to underdiagnosis, which has been described in population-based studies as affecting 50% or more of glaucoma...

September 12, 2024

Consider a concomitant neurological disease in a glaucoma patient when there is only partial topographic agreement between structure and function.

Tip of the month

Consider a concomitant neurological disease in a glaucoma patient when there is only partial topographic agreement between structure and function.

The Science behind the Tip One of the key elements in the diagnosis and monitoring of glaucoma is the assessment of the topographic agreement...

July 14, 2024

Tip: Not every peripapillary hemorrhage is a sign for glaucoma

Tip of the month

Tip: Not every peripapillary hemorrhage is a sign for glaucoma

The Science behind the Tip Most of the time, disc hemorrhages in patients with glaucoma are related to the disease itself. Although the strong...

June 16, 2024

Disease progression, irrespective of intraocular pressure, should guide escalation of treatment in glaucoma

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Disease progression, irrespective of intraocular pressure, should guide escalation of treatment in glaucoma

The Science behind the Tip The objective of clinical intervention in patients with glaucoma is to slow down disease progression. Intraocular...

May 15, 2024

Systemic β-blockers may have a heterogenous impact on glaucoma patients

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Systemic β-blockers may have a heterogenous impact on glaucoma patients

The Science behind the Tip Systemic β-blockers could reach the ciliary body epithelium and are associated with lower intraocular pressure. Thus,...

April 15, 2024

Beware of acute corneal oedema after SLT in selected patients

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Beware of acute corneal oedema after SLT in selected patients

The Science behind the Tip The increase in the practice of selective laser trabeculoplasty (SLT) has brought attention to rare side effects such as...

March 14, 2024

Various factors can result in discordance between gonioscopy and Anterior Segment Optical Coherence Tomography (AS-OCT) when assessing angle closure

Tip of the month

Various factors can result in discordance between gonioscopy and Anterior Segment Optical Coherence Tomography (AS-OCT) when assessing angle closure

The Science behind the Tip Gonioscopy remains the gold standard for confirming iridotrabecular contact and diagnosing angle closure.1 AS-OCT and...

February 12, 2024

Identifying a high polygenic risk for glaucoma will allow us to identify glaucoma patients at risk for rapid structural and functional glaucoma progression

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Identifying a high polygenic risk for glaucoma will allow us to identify glaucoma patients at risk for rapid structural and functional glaucoma progression

The Science behind the Tip The identification of an individual´s genetic risk of a disease is increasingly recognized as a tool in disease risk...

January 15, 2024

Selective Laser Trabeculoplasty can be considered lifesaving treatment for the cornea when severe ocular disease co-exists with glaucoma

Tip of the month

Selective Laser Trabeculoplasty can be considered lifesaving treatment for the cornea when severe ocular disease co-exists with glaucoma

The Science behind the Tip Elevated intraocular pressure (IOP) and glaucoma are not uncommon in cases of cicatricial conjunctivitis (CC) such as...

December 17, 2023

Exfoliation (pseudoexfoliation) syndrome (XFS, with or without glaucoma) is associated with clinically significant non-vascular systemic diseases.

Tip of the month

Exfoliation (pseudoexfoliation) syndrome (XFS, with or without glaucoma) is associated with clinically significant non-vascular systemic diseases.

The Science behind the Tip Systemic vascular dysfunction in XFS patients and statistically significant associations of systemic diseases with XFS...

November 15, 2023

Consider sources of bias when using OCT angiography

Tip of the month

Consider sources of bias when using OCT angiography

The Science behind the Tip OCT angiography (OCTA) has gained great interest in glaucoma diagnosis (1, 2) and follow up(3). However, several...

October 15, 2023

OCT Imaging of glaucoma patients at 6-month intervals may enhance progression detection while reducing the healthcare burden of more frequent testing

Tip of the month

OCT Imaging of glaucoma patients at 6-month intervals may enhance progression detection while reducing the healthcare burden of more frequent testing

The Science behind the Tip Thanks to its high reproducibility,1-3 OCT has become widely used for monitoring structural optic nerve changes in...

September 15, 2023

Glaucoma control can be detrimentally affected by recurrent anti- VEGF treatment for macular degeneration or diabetic macular oedema

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Glaucoma control can be detrimentally affected by recurrent anti- VEGF treatment for macular degeneration or diabetic macular oedema

The Science behind the Tip Patients undergoing anti-VEGF (vascular endothelial growth factor) therapy for age-related macular degeneration or...

August 31, 2023

Be aware of the potential influence of the vitreoretinal interface when interpreting OCT images of the retinal nerve fiber layer (RNFL) in glaucoma patients

Tip of the month

Be aware of the potential influence of the vitreoretinal interface when interpreting OCT images of the retinal nerve fiber layer (RNFL) in glaucoma patients

Vitreous traction can cause artifacts that may obscure RNFL thinning, potentially leading to misinterpretation of disease progression. Studies have...

July 30, 2023

When interpreting RNFL OCT scans, attention should be paid to the presence of peripapillary retinoschisis

Tip of the month

When interpreting RNFL OCT scans, attention should be paid to the presence of peripapillary retinoschisis

Peripapillary retinoschisis (PPRS) occurs significantly more frequently in glaucoma patients (1%-6%) compared to healthy subjects (0.5%) (1). The...

June 30, 2023

OCT can be a helpful additional tool to differentiate glaucoma from other optic neuropathi

Tip of the month

OCT can be a helpful additional tool to differentiate glaucoma from other optic neuropathi

Differentiating between glaucomatous and non-glaucomatous optic neuropathies can be quite challenging. In addition to a thorough clinical history...

May 31, 2023

Oral acetazolamide (Diamox) is known to lower intraocular pressure, but it can very rarely cause acute bilateral angle closure with severely elevated intraocular pressure

Tip of the month

Oral acetazolamide (Diamox) is known to lower intraocular pressure, but it can very rarely cause acute bilateral angle closure with severely elevated intraocular pressure

The mechanism is thought to be an idiosyncratic reaction to sulphonamides, similar to that which can occur with drugs such as topiramate. The...

April 21, 2023

Use corneal hysteresis to identify high-risk glaucoma patients

Tip of the month

Use corneal hysteresis to identify high-risk glaucoma patients

Identifying those patients at greater risk of disease progression is a key step in glaucoma management algorithms. Several variables have been...

March 31, 2023

Transconjunctival suturing techniques to treat over-filtration following trabeculectomy

Tip of the month

Transconjunctival suturing techniques to treat over-filtration following trabeculectomy

Hypotony is a recognised complication following filtration surgery such as trabeculectomy (1). Where this is due to over-filtration, intervention...

February 28, 2023