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Curbside Consultation in Glaucoma: 49 Clinical Questions

Curbside Consultation in Glaucoma: 49 Clinical Questions Cover


Synopses & Reviews

Publisher Comments:

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional glaucoma references? Are you seeking brief, evidence-based advice for common clinical dilemmas? Curbside Consultation in Glaucoma: 49 Clinical Questions provides quick and direct answers to the thorny questions most commonly posed during a “curbside consultation” between glaucoma specialists.

Dr. Dale K. Heuer, and associate editors Dr. Steven J. Gedde and Dr. Richard Lewis, have designed this unique reference in which top glaucoma specialists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with the day-to-day diagnosis and care of glaucoma patients. The unique Q&A format provides quick access to current information related to glaucoma with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate glaucoma pearls.

Curbside Consultation in Glaucoma: 49 Clinical Questions provides information basic enough for residents while also incorporating expert pearls that even high-volume glaucoma specialists will appreciate. General practitioners, residents, fellows, and optometrists alike will benefit from the user-friendly and casual format and the expert advice contained within.

Some of the questions that are answered:

• Which imagining device should I use in my practice?

• How should I set a target intraocular pressure?

• What is “maximum medical therapy” for glaucoma now?

• Which glaucoma medications may be used safely during pregnancy? In children?

• Is selective laser trabeculoplasty better than argon or diode laser trabeculoplasty?

• Which of the new incisional surgical alternatives to trabeculectomy should I consider for my patients? In what clinical settings should I consider them?

• In which patients with glaucoma and cataract should I perform a combined

procedure? Cataract surgery alone? Trabeculectomy first?

Book News Annotation:

Designed to suit everyone from residents to high-volume specialists, this focuses on the clinical side of diagnosis and treatment but offers enough theory to make the practical logical. The topics include coverage of questions patients ask as well as practitioners, such as the frequency of blindness, the relationship of interocular pressure to the progress of glaucoma, causes and risks, clinical examination of the optic nerve, imaging devices, visual field tests, tests of development, disc hemorrhages, anomalous discs, extended interocular pressure assessment, cardiovascular evaluations, systemic diseases associated with glaucoma, treatment for the newly diagnosed, steroid-related glaucoma, neovascular glaucoma, treatment of pain in the blind eye, maximum therapy, the role of classic and new surgeries, laser surgery (with and without incision), bleb-related leaks and infections, placement of shunts, and assessment of patients for procedures. Annotation ©2008 Book News, Inc., Portland, OR (

About the Author

Dale K. Heuer, MD received his undergraduate and medical degrees from Northwestern University. He completed his ophthalmology residency at the Medical College of Wisconsin and a 2-year National Research Service Award–funded glaucoma fellowship at the Bascom Palmer Eye Institute. Dr. Heuer has published extensively on the use of conventional filtering procedures with wound-healing modulation and aqueous shunting procedures for t he management of glaucomas with poor surgical prognoses. He has participated in several glaucoma clinical trials, including the Fluorouracil Filtering Surgery Study, the Collaborative Normal-Tension Glaucoma Study, and the Collaborative Initial Glaucoma Study. Dr. Heuer currently serves as one of the three Vice Chairs of the National Eye Institute–sponsored Ocular Hypertension Treatment Study, one of the three Co-Chairs of the Tube Versus Trabeculectomy Study, a member of the Safety and Data Monitoring Committee of the Ahmed-Baerveldt Comparison Study, and a voting member of the US Food and Drug Administrations Ophthalmic Device Panel. He is Professor and Chairman of Ophthalmology at the Medical College of Wisconsin, where he also serves as the Director of the Froedtert and Medical College of Wisconsin Eye Institute.

Table of Contents



About the Editor

About the Associate Editors

Contributing Authors



Question 1 How Frequently Does Blindness Develop Among Patients

With Primary Open-Angle Glaucoma? With Ocular Hypertension?

Philip P. Chen, MD

Question 2 Does Reducing Intraocular Pressure Really Prevent Development

and Progression of Glaucoma?

Kuldev Singh, MD, MPH

Question 3 What Are the Most Frequent Causes of Glaucoma-Related

Medical Malpractice Suits? What Can I Do to Minimize My Risk?

E. Randy Craven, MD


Question 4 How Should I Clinically Examine the Optic Nerve?

Felipe A. Medeiros, MD, PhD

Question 5 Which Imaging Device Should I Use in My Practice?

Christopher A. Girkin, MD, MSPH, FACS

Question 6 Is There Still a Role for Stereo Disc Photography in the Diagnosis

and Management of Glaucoma?

Paul J. Mackenzie, MD, PhD (co-authored with George A. Cioffi, MD)

Question 7 What Visual Field Tests Should I Use in My Glaucoma Suspects? In My

Patients With Manifest Glaucoma?

Chris A. Johnson, PhD

Question 8 What Is the Best Method for Detecting Glaucoma Development?

Glaucomatous Progression?

Balwantray C. Chauhan, PhD

Question 9 What Are the Implications of Disc Hemorrhages in Glaucoma Patients

or Suspects?

Jody R. Piltz-Seymour, MD

Question 10 How Should I Follow Patients With Anomalous Optic Discs,

Such as Those With Optic Nerve Drusen, Tilted Discs, Myopic Discs,

and Discs With Pits?

Jane Loman, MD (co-authored with Joseph Caprioli, MD)

Question 11 How Is 24-Hour Intraocular Pressure Assessed? Is It Important in Glaucoma

Management or Risk Assessment?

Robert N. Weinreb, MD (co-authored with John H.K. Liu, PhD)

Question 12 Should I Measure Central Corneal Thickness in All Glaucoma Patients?

All Glaucoma Suspects?

James D. Brandt, MD

Question 13 How Frequently Should I Perform Follow-Up Examinations,

Gonioscopy, Visual Field Testing, and Optic Nerve Evaluation

in Glaucoma Patients?

Dana M. Blumberg, MD (co-authored with Paul P. Lee, MD)

Question 14 In Which Patients With Glaucoma Should I Perform Neuroimaging,

Cardiovascular Evaluation, and/or Laboratory Testing?

David S. Greenfield, MD

Question 15 When Should I Suspect Nonpupillary Block Secondary Angle-Closure?

What Are the Causes?

Angelo P. Tanna, MD

Question 16 What Systemic Diseases Can Be Associated With Glaucoma?

M. Bruce Shields, MD


Question 17 Which Patients With Ocular Hypertension Should I Treat?

Husam Ansari, MD, PhD (co-authored with Richard K. Parrish II, MD)

Question 18 How Should I Set a Target Intraocular Pressure?

Gregg A. Heatley, MD

Question 19 How Should I Begin Treatment for a Newly Diagnosed Primary

Open-Angle Glaucoma Patient?

Annisa L. Jamil, MD (co-authored with Richard P. Mills, MD, MPH)

Question 20 Are There Special Issues of Which I Should Be Aware Regarding

Pigment Dispersion Syndrome or Pigmentary Glaucoma?

Celso Tello, MD (co-authored with Robert Ritch, MD)

Question 21 Does Exfoliation Syndrome Increase the Risk of Developing Glaucoma?

Are Patients With Exfoliation Glaucoma More Likely to Progress?

What Other Issues Do These Patients Have?

Robert Ritch, MD

Question 22 How Frequent Is Corticosteroid-Induced Glaucoma?

How Should I Manage It?

Davinder S. Grover, MD, MPH (co-authored with Alan L. Robin, MD)

Question 23 What Methods Are Available to Break an Acute Attack of

Angle-Closure Glaucoma?

Darrell WuDunn, MD, PhD

Question 24 How Should I Manage Neovascular Glaucoma?

Hylton R. Mayer, MD (co-authored with James C. Tsai, MD)

Question 25 How Should I Treat Elevated Intraocular Pressure (With or Without

Glaucoma Damage) Associated With Uveitis?

David Cute, DO (co-authored with Francisco Fantes, MD)

Question 26 What Treatment Options Are Available for a Blind, Painful Eye?

Jonathan S. Myers, MD


Question 27 Is a Unilateral Trial Useful When Starting Treatment With a

Glaucoma Medication?

Angelo P. Tanna, MD (co-authored with Theodore Krupin, MD)

Question 28 Which Glaucoma Medications Should Be Used as Initial Therapy?

Steven L. Mansberger, MD, MPH

Question 29 What Is Maximum Medical Therapy in Glaucoma Management?

Simon K. Law, MD, PharmD

Question 30 Which Glaucoma Medications Can Be Safely Used During Pregnancy?

In Childhood?

Bhavna P. Sheth, MD

Question 31 Is There Still a Role for Miotics in Some Patients? Oral Carbonic

Anhydrase Inhibitors?

Richard K. Lee, MD, PhD

Question 32 How Should I Treat the Glaucoma Patient With Topical

Drug Allergies?

Jess T. Whitson, MD

Question 33 How Can I Improve Patient Adherence?

Silvia Orengo-Nania, MD


Question 34 When Should I Perform Laser Trabeculoplasty in My Patients

With Open-Angle Glaucoma?

L. Jay Katz, MD (co-authored with Scott J. Fudemberg, MD)

Question 35 When Should I Perform a Prophylactic Laser Iridotomy?

Martin Wand, MD

Question 36 When Is Laser Iridoplasty Used?

Jeffrey M. Liebmann, MD

Question 37 When Is Incisional Glaucoma Surgery Indicated?

Annette Giangiacomo, MD (co-authored with Anne Louise Coleman, MD, PhD)

Question 38 What Can I Do to Reduce the Risks of Complications and Failure

After Trabeculectomy?

Mark Sherwood, FRCP, FRCS, FRCOphth

Question 39 What Can I Do After Trabeculectomy to Improve Its Success Rate?

Martha M. Wright, MD

Question 40 How Do I Manage Chronic Hypotony Maculopathy? How Soon Should I


Paul Palmberg, MD, PhD

Question 41 What Are Causes of Anterior Chamber Shallowing After


Paul A. Sidoti, MD

Question 42 How Should I Manage a Late-Onset Bleb Leak?

Donald L. Budenz, MD, MPH

Question 43 What Factors Increase the Risk of Bleb-Related Infection?

How Should I Treat Blebitis and Bleb-Related Endophthalmitis

If It Develops?

Richard M. Awdeh, MD (co-authored with Leon W. Herndon, MD

and Terry Kim, MD)

Question 44 In Which Patients With Glaucoma and Cataracts Should I Perform a

Combined Procedure? Cataract Surgery Alone?

Trabeculectomy First?

Bradford J. Shingleton, MD

Question 45 What Are the Indications for Placement of an Aqueous Shunt?

Don Minckler, MD, MS

Question 46 What Is the Best Surgical Approach for Managing Uncontrolled Glaucoma

in a Patient Who Had Previous Cataract Extraction or Failed Filtering


Steven J. Gedde, MD

Question 47 Is There a Role for Nonpenetrating Glaucoma Surgery?

Richard A. Lewis, MD

Question 48 What Other New Surgical Techniques Are Available for Glaucoma?

Peter A. Netland, MD, PhD

Question 49 In Which Glaucoma Patients Should I Consider Cyclodestruction?

Malik Y. Kahook, MD

Financial Disclosures


Product Details

49 Clinical Questions
Slack Incorporated
Gedde, Steven J.
Heuer, Dale K.; Gedde, Steven J.; Lewis, Richard
Lewis, Richard
Heuer, Dale K.
Heuer, D.
Heuer, Dale K.
Health and Medicine-Medical Specialties
Edition Description:
Trade Paper
Curbside Consultation in Ophthalmology
Publication Date:
Grade Level:
Professional and scholarly
10 x 7 x 0.75 in 22.9 oz

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