Chronic miotics can be helpful in case of plateau iris configuration

Tip of the month

Chronic miotics can be helpful in case of plateau iris configuration

The Science behind the Tip Long term miotics are seldom prescribed nowadays. Still the drugs remain useful in case of plateau iris configuration, a...

February 28, 2011

To reduce the risk of late bleb-related infection, avoid multiple-dose eye drops in patients who have previously undergone trabeculectomy with mitomycin C

Tip of the month

To reduce the risk of late bleb-related infection, avoid multiple-dose eye drops in patients who have previously undergone trabeculectomy with mitomycin C

The Science behind the Tip Bleb-related infection is a devastating and potentially blinding late consequence of trabeculectomy, particularly if...

January 31, 2011

Small field depressions can be more worrying than large ones

Tip of the month

Small field depressions can be more worrying than large ones

The Science behind the Tip Much of the decision making in modern glaucoma practice is based on automated visual field test results. Careful...

December 31, 2010

The cataract surgeon should be informed that the patient has pseudo-exfoliation syndrome

Tip of the month

The cataract surgeon should be informed that the patient has pseudo-exfoliation syndrome

The Science behind the Tip Although the diagnosis of pseudo-exfoliation syndrome (PEX) with a fully dilated pupil in an elderly patient should pose...

October 31, 2010

If conservative measures are unsuccessful in the management of malignant glaucoma, phaco with IOL combined with posterior capsulotomy and anterior vitrectomy usually is

Tip of the month

If conservative measures are unsuccessful in the management of malignant glaucoma, phaco with IOL combined with posterior capsulotomy and anterior vitrectomy usually is

The Science behind the Tip Malignant glaucoma in a phakic eye typically follows incisional surgery for primary angle-closure glaucoma. Shallowing...

September 30, 2010

In patients with chronic angle-closure glaucoma and cataract, phacoemulsification with IOL implantation usually results in IOP control up to 2 years after surgery

Tip of the month

In patients with chronic angle-closure glaucoma and cataract, phacoemulsification with IOL implantation usually results in IOP control up to 2 years after surgery

The Science behind the Tip An anteriorly positioned and thickened lens plays an important role in the pathogenesis of anterior chamber shallowing...

June 30, 2010

Measurement of central corneal thickness is essential to ensure optimal management of glaucoma patients

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Measurement of central corneal thickness is essential to ensure optimal management of glaucoma patients

The Science behind the Tip The measurement of central corneal thickness (CCT) has emerged as an important parameter to determine in all patients...

May 31, 2010

Disc Haemorrhages

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Disc Haemorrhages

The Science behind the Tip Although described most commonly in normal tension glaucoma, optic disc haemorrhages may occur in all forms of glaucoma....

April 30, 2010

When should neuroradiological imaging be undertaken in patients with normal tension glaucoma?

Tip of the month

When should neuroradiological imaging be undertaken in patients with normal tension glaucoma?

The Science behind the Tip Clinicians must remain vigilant to detect intracranial pathology in patients with normal tension glaucoma. Most patients...

March 31, 2010

Glaucoma medications may harm the foetus and neonate

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Glaucoma medications may harm the foetus and neonate

The Science behind the Tip Human data on adverse effects of glaucoma medications during pregnancy and lactation are sparse because the coincidence...

May 31, 2009

Intraocular pressure is overestimated in eyes with a thick cornea

Tip of the month

Intraocular pressure is overestimated in eyes with a thick cornea

The Science behind the Tip Variability in central corneal thickness (CCT) is a potent confounder of Goldmann applanation tonometry (GAT)(1). The...

April 30, 2009

A thin cornea is a risk factor for primary open-angle glaucoma

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A thin cornea is a risk factor for primary open-angle glaucoma

The Science behind the Tip Central corneal thickness (CCT) varies among individuals, the average CCT in the general population being approximately...

March 31, 2009

Intraocular pressure is underestimated in eyes with a thin cornea

Tip of the month

Intraocular pressure is underestimated in eyes with a thin cornea

The Science behind the Tip Variability in central corneal thickness (CCT) is a potent confounder of applanation tonometry techniques such as...

February 28, 2009

Visual field defects are filled-in by the brain

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Visual field defects are filled-in by the brain

The Science behind the Tip Contrary to long held beliefs, cortical maps in the brain are not rigid. Extensive reorganization (i.e. brain remapping)...

January 31, 2009

Pseudoexfoliation glaucoma has a strong genetic component

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Pseudoexfoliation glaucoma has a strong genetic component

Publishing date: December 2008 The Science behind the Tip Pseudoexfoliation or exfoliation syndrome (PEX) is the most common identifiable condition...

December 31, 2008

Chase the family of primary-open angle glaucoma patients

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Chase the family of primary-open angle glaucoma patients

The Science behind the Tip Various modes of screening for primary open-angle glaucoma (POAG), i.e. different combinations of tonometry and...

November 30, 2008

Intraocular pressure should be monitored after an acute episode of angle-closure

Tip of the month

Intraocular pressure should be monitored after an acute episode of angle-closure

The Science behind the Tip Treatment of acute attacks of angle-closure glaucoma induced by pupillary block is based on medical therapy aiming at...

October 31, 2008

Topical medication may accelerate cataract formation

Tip of the month

Topical medication may accelerate cataract formation

The Science behind the Tip A number of large studies have linked use of topical glaucoma medication with increased risk of nuclear cataract, the...

September 30, 2008

Closing the eyes as an alternative for nasolacrimal duct occlusion

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Closing the eyes as an alternative for nasolacrimal duct occlusion

The Science behind the Tip The Science behind the Tip Manual nasolacrimal occlusion after eye drop instillation is often taught to glaucoma...

June 30, 2008

There is no significant association between use of β-blockers and depression

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There is no significant association between use of β-blockers and depression

The Science behind the Tip The Science behind the Tip The methodological quality of early studies of the association of systemic or topical...

May 31, 2008

Trabeculectomy significantly increases the incidence of cataract formation

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Trabeculectomy significantly increases the incidence of cataract formation

The Science behind the Tip The Science behind the Tip It is widely acknowledged that trabeculectomy (TRAB) accelerates cataract formation. The...

April 30, 2008

Concomitant therapy with Cosopt® and Diamox® is not useful

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Concomitant therapy with Cosopt® and Diamox® is not useful

The Science behind the Tip Although the ß-blocker timolol and the topical carbonic anhydrase inhibitor (CAI) dorzolamide both act by decreased...

March 31, 2008

Rate of false positive answers is the only reliable reliability parameter in computerized perimetry

Tip of the month

Rate of false positive answers is the only reliable reliability parameter in computerized perimetry

The Science behind the Tip In computerized perimetry patient?s reliability is measured by 3 parameters, namely rate of false positive and false...

February 29, 2008

Normal intraocular pressure in an eye with central retinal vein occlusion does not rule out associated glaucoma

Tip of the month

Normal intraocular pressure in an eye with central retinal vein occlusion does not rule out associated glaucoma

The Science behind the Tip Ocular hypertension (OH) and primary open-angle glaucoma (POAG) are strongly associated with (hemi)central retinal vein...

January 31, 2008

Medication compliance can easily be improved

Tip of the month

Medication compliance can easily be improved

The Science behind the Tip Poor medication compliance (i.e. patients not taking their medication as directed) is a major problem in glaucoma care....

December 31, 2007