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Current Developments in Glaucoma Surgery and MIGS by J.R. Samples,I.I.K. Ahmed Pdf
Successful interventional glaucoma remains a sought-after goal for the glaucoma clinician for many reasons. Medical costs, compliance, and adherence remain major barriers for the treatment of our patients. A truly definitive treatment for glaucoma is most likely to be largely surgical, as it is doubtful that patients will continue to use glaucoma drugs in the future for anything other than transient lowering of intraocular pressure. In the coming era, it seems probable that neuroprotection and neurorestoration will be combined with MIGS to lower pressure. The different types of MIGS are increasing in proportion to their efficacy. To date, there are no fewer than 12 choices available to glaucoma specialists. Choice of procedure depends on the underlying anatomy as well as the patient’s individual characteristics. Truthfully, the number of available surgeries depends upon their taxonomy. Most are based on the outflow system and the canal, as illustrated in this book.
With a revolution in the surgical management of mild to moderate glaucoma, new procedures allow for the use of microinvasive techniques that avoid disruption of the conjunctiva and formation of a bleb. These approaches range from laser therapies targeting the outflow system of the eye to the implantation of miniature devices in Schlemm’s canal or the suprachoroidal space. The emergence of this new branch of glaucoma surgery, often coupled with micro-incisional cataract surgery, requires the practicing surgeon to learn about anatomical nuances to ensure success. MIGS: Advances in Glaucoma Surgery will aid the novice resident as well as the seasoned ophthalmic surgeon facing these new issues in glaucoma treatment. The book addresses preoperative patient selection advice, intraoperative pearls for success, and post operative management skills, which are some of the important aspects of the process towards the adoption of MIGS. Why you will want to read MIGS: Advances in Glaucoma Surgery: • Forward thinking contributions from seasoned MIGS experts who have intimate knowledge of the devices benefits and potential pitfalls in their use • Basic knowledge is provided that will allow each surgeon to tailor their treatment plan while leveling the learning curve • Assists in indentifying patients with a milder form of the disease and higher target pressures who may benefit from the MIGS devices MIGS: Advances in Glaucoma Surgery is the first book of its kind to cover the range of devices in this arena using expert contributors and offering real world pearls for practice that can be used in the operating room. Practicing cataract and glaucoma physicians, residents, and fellows will benefit from this timely resource as the thought process for how to treat glaucoma has advanced.
The Science of Glaucoma Management by Kevin Gillmann,Kaweh Mansouri Pdf
The Science of Glaucoma Management: From Translational Research to Next-Generation Clinical Practice bridges the gap between laboratory research and clinicians by bringing the latest promising research directly from researchers to clinicians long before they translate into clinical advances, and often before they are presented at conferences. Organized as a series of clinically relevant topics written by world-leading experts, this book summarizes the current state of laboratory and translational research and draws on the potential implications for day-to-day clinical practice. It offers new insights and mind-opening statements through contributions from some of the most respected glaucoma research groups. The book allows glaucoma specialists to explore novel ways to refine and rethink their practice based on the latest discoveries in basic sciences and breakthrough technologies, and to gain a better understanding on how their specialty is evolving and how research may shape tomorrow’s practice. Presents a detailed report on the latest translational research and breakthroughs that may transform glaucoma practice Overviews the specialty from a scientific and clinical point-of-view Written by world-renowned clinicians and researchers in the field of glaucoma Includes insights, opinions and recommendations from some of the most prominent scientists and ophthalmologists Covers hot topics and the latest technologies in glaucoma, such as minimally invasive glaucoma surgery, telemedicine, gene therapy, neuroprotection and artificial intelligence
MIGS by Malik Y. Kahook,Sarwat Salim,Leonard K. Seibold Pdf
With a revolution in the surgical management of mild to moderate glaucoma, new procedures allow for the use of microinvasive techniques that avoid disruption of the conjunctiva and formation of a bleb. These approaches range from laser therapies targeting the outflow system of the eye to the implantation of miniature devices in Schlemm's canal or the suprachoroidal space. The emergence of this new branch of glaucoma surgery, often coupled with micro-incisional cataract surgery, requires the practicing surgeon to learn about anatomical nuances to ensure success. MIGS: Advances in Glaucoma Surgery will aid the novice resident as well as the seasoned ophthalmic surgeon facing these new issues in glaucoma treatment. The book addresses preoperative patient selection advice, intraoperative pearls for success, and post operative management skills, which are some of the important aspects of the process towards the adoption of MIGS. Why you will want to read MIGS: Advances in Glaucoma Surgery: * Forward thinking contributions from seasoned MIGS experts who have intimate knowledge of the devices benefits and potential pitfalls in their use * Basic knowledge is provided that will allow each surgeon to tailor their treatment plan while leveling the learning curve * Assists in indentifying patients with a milder form of the disease and higher target pressures who may benefit from the MIGS devices MIGS: Advances in Glaucoma Surgery is the first book of its kind to cover the range of devices in this arena using expert contributors and offering real world pearls for practice that can be used in the operating room. Practicing cataract and glaucoma physicians, residents, and fellows will benefit from this timely resource as the thought process for how to treat glaucoma has advanced.
Glaucoma Research and Clinical Advances 2016 to 2018 by P.A. Knepper,J.R. Samples Pdf
This first volume of the New Concepts in Glaucoma series was conceived as a platform to express new ideas and approaches to understanding and solving primary open-angle glaucoma. The authors have attempted to expand levels of knowledge, present new ideas and challenge existing theories. Although the authors have painted a broad picture, the central theme of the book is to ask the right questions and seek the answers for patients with primary open-angle glaucoma.
Brian A. Francis,Steven R. Sarkisian, Jr.,James C. Tan
Author : Brian A. Francis,Steven R. Sarkisian, Jr.,James C. Tan Publisher : Thieme Page : 549 pages File Size : 44,5 Mb Release : 2016-11-28 Category : Medical ISBN : 9781626231559
Minimally Invasive Glaucoma Surgery by Brian A. Francis,Steven R. Sarkisian, Jr.,James C. Tan Pdf
The most comprehensive, up-to-date textbook on Minimally Invasive Glaucoma Surgery Glaucoma affects millions of people worldwide and is the second leading cause of blindness. Major advances in innovative surgical techniques, collectively termed minimally invasive glaucoma surgery (MIGS), have revolutionized the field. These groundbreaking ophthalmic surgery approaches are effective, are not bleb-dependent, and they result in fewer complications. Authored by a Who's Who of prominent experts in the MIGS movement, this book represents the most comprehensive book written to date on the subject. Leading glaucoma surgeons offer unique perspectives and experience gleaned from developing and mastering these state-of-the-art techniques. The first four sections discuss fundamental concepts of eye anatomy and structure, outflow implications, and aqueous production. The remaining sections cover the latest cutting-edge procedures elucidated through text descriptions and case studies, with the final two chapters offering insights into how to best incorporate MIGS into your practice and possibilities for combining MIGS procedures to expand the treatment algorithm for patients with more moderate to advanced disease. Meticulous, step-by-step drawings, photos, and surgical videos further delineate advanced MIGS techniques. Select State-of-the-Art Procedures Trabecular Outflow Trabectome Gonioscopic Assisted Transluminal Trabeculotomy (GATT) Ab Interno 360 Degree Goniotomy (TRAB360) iStent Hydrus Eximer Laser Trabeculoplasty Uveoscleral Outflow Canaloplasty SOLX Gold Shunt CyPass iStent Supra Aqueous Humor Reduction Endoscopic Cyclophotocoagulation Transconjunctival Filtration Aquesys XEN Gel Stent InnFocus Microshunt This remarkable resource will enable ophthalmologists to incorporate cutting-edge MIGS into practice. It is a must have for any clinician who endeavors to advance the treatment of glaucoma.
Childhood Glaucoma by Yasmine M. El Sayed,Abdelrahman M. Elhusseiny Pdf
This book is designed to offer a comprehensive overview of childhood glaucoma, covering both its clinical and surgical aspects. Spanning 28 chapters, this work is the collective effort of esteemed international authors, exploring a wide range of topics from fundamental classification, diagnosis, and genetics, to detailed surgical procedures. The sections dedicated to surgical techniques present a step-by-step guide to various glaucoma surgeries, complete with practical advice to enhance the proficiency of both beginners and experienced surgeons. The reader is acquainted with basic surgical procedures, as well as updates such as circumferential angle surgeries, novel glaucoma shunts, and the role of Minimally Invasive Glaucoma Surgery (MIGS) in the treatment of children. Moreover, the book addresses the management of concurrent conditions often seen with childhood glaucoma, like corneal pathologies, lens anomalies, amblyopia, and strabismus, providing a comprehensive approach to patient care. The concluding section provides insights into the psychosocial and economic aspects of this complex condition, enriching readers with a deeper understanding of its extensive impact. Childhood Glaucoma: Current Trends and Future Prospects is a must-have resource for trainees and expert surgeons alike, with each chapter enriched with high-quality images and illustrations. A collection of carefully selected surgical videos guides the reader through the more intricate aspects of childhood glaucoma surgery, making this book an indispensable resource in the field.
Minimally Invasive Glaucoma Surgery by Chelvin C. A. Sng,Keith Barton Pdf
The book is provided open access under a CC BY 4.0 license. This book covers all aspects of minimally invasive glaucoma surgery (MIGS) and provides detailed information on each MIGS device, including its mechanism of action; patient selection; implantation techniques; post-operative management; and a review of the existing literature. Step-by-step descriptions are provided for the surgical technique used in implanting each MIGS device, accompanied by clear photographs of each surgical stage. Other areas covered include intra-operative gonioscopy (with tips on optimising the view of the anterior chamber angle) and the management of the intra-operative and post-operative complications. Essential information on the anatomy and physiology of the different aqueous outflow pathways is also included. A separate chapter addresses the introduction of MIGS globally, including the consideration of different reimbursement environments and the different types of glaucoma, e.g. angle closure glaucoma. This book will assist both glaucoma surgeons and general ophthalmologists in overcoming the learning curve involved in performed MIGS, by providing valuable and practical clinical pearls.
Minimally Invasive Glaucoma Surgery by Brian Francis,Steven Sarkisian,James C. Tan Pdf
The most comprehensive, up-to-date textbook on Minimally Invasive Glaucoma Surgery Glaucoma affects millions of people worldwide and is the second leading cause of blindness. Major advances in innovative surgical techniques, collectively termed minimally invasive glaucoma surgery (MIGS), have revolutionized the field. These groundbreaking ophthalmic surgery approaches are effective, are not bleb-dependent, and they result in fewer complications. Authored by a Who's Who of prominent experts in the MIGS movement, this book represents the most comprehensive book written to date on the subject. Leading glaucoma surgeons offer unique perspectives and experience gleaned from developing and mastering these state-of-the-art techniques. The first four sections discuss fundamental concepts of eye anatomy and structure, outflow implications, and aqueous production. The remaining sections cover the latest cutting-edge procedures elucidated through text descriptions and case studies, with the final two chapters offering insights into how to best incorporate MIGS into your practice and possibilities for combining MIGS procedures to expand the treatment algorithm for patients with more moderate to advanced disease. Meticulous, step-by-step drawings, photos, and surgical videos further delineate advanced MIGS techniques. Select State-of-the-Art Procedures Trabecular Outflow Trabectome Gonioscopic Assisted Transluminal Trabeculotomy (GATT) Ab Interno 360 Degree Goniotomy (TRAB360) iStent Hydrus Eximer Laser Trabeculoplasty Uveoscleral Outflow Canaloplasty SOLX Gold Shunt CyPass iStent Supra Aqueous Humor Reduction Endoscopic Cyclophotocoagulation Transconjunctival Filtration Aquesys XEN Gel Stent InnFocus Microshunt This remarkable resource will enable ophthalmologists to incorporate cutting-edge MIGS into practice. It is a must have for any clinician who endeavors to advance the treatment of glaucoma.
The first edition of this volume, published in 2012, has become an indispensable reference for clinicians, a fact that inspired the making of this 2nd edition. The book starts with a discussion of current achievements and limitations of the medical therapy of glaucoma. The focus is then placed on conventional glaucoma procedures such as trabeculectomy, deep sclerectomy, and glaucoma drainage device surgery. A chapter is dedicated to the postoperative management of filtering procedures. Further chapters review the role of the ocular surface and the issue of modulation of the scarring processes in glaucoma surgery. The second section covers some promising new devices and techniques. The final part addresses the surgical approaches to some specific clinical challenges: angle-closure glaucoma, concomitant cataract and glaucoma, pediatric glaucoma, and refractory glaucomas. This volume provides residents and general ophthalmologists with valuable new insights into the fascinating and sometimes complex aspects of glaucoma surgery. It will also assist glaucoma specialists when they review and validate therapeutic approaches with their patients.
Glaucoma Research and Clinical Advances by John R. Samples,Paul A. Knepper Pdf
Foreword Volume 2 of our serial publication continues our desire to address glaucoma with a combination of science and speculation. As science expands, the emphasis is on data, interpretation, and dogma. We disagree; open minds open new approaches. Using methodologies that are primarily molecular and genetic, we seek to refine the causes of glaucoma as well as how it is best treated, especially incorporating thoughts and hypotheses about new methods of treatment. Glaucoma is a complex disease, and genetics proves that a variety of proteins are culpable at one level. At another level, however, there are likely final common pathways and numerous feedback loops which have defied explanations to date. The search for answers goes on in basic science researcher’s laboratories and clinical ophthalmologist’s offices and operating rooms. We are all well-served by understanding that glaucoma is a neurodegenerative disease. Current attempts to solve the disease have focused on two strategic arenas: the trabecular meshwork function and its impact on intraocular pressure as a major risk factor for the disease; and the optic nerve dysfunction leading to visual loss. Genetic mutations have yielded puzzling clues to the cause, but without resolution. For example, mutations in myocilin and optineurin genes are closely connected to the phenotype, but how do they cause the disease? In the next two years, priority areas of research are signaling pathway discoveries, biomarker panels, epigenetic factors, and continued genomic studies to yield answers to the common final pathways of the disease. The final pathways are complex and redundant, such that the overlap of bio-informatics will be challenging. Current promising leads suggest the innate immune system holds important clues to both trabecular meshwork and optic nerve pathophysiology. When the primary open-angle glaucoma disease pathways are unraveled, drug discoveries and new treatment modalities will be available for better regulation of intraocular pressure and neuroprotection for the optic nerve. This volume discusses the glaucoma pipeline from several perspectives as well as future candidate classes. As always, the authors herein are urged to speculate on how the cure of glaucomatous optic nerve damage will yield to new treatments. John R. Samples Clinical Professor, Elson S. Floyd College of Medicine, Washington State University School of Medicine www.glaucomaconcepts.com Paul A. Knepper Associate Professor of Ophthalmology, Feinberg School of Medicine, Northwestern University Medical School Research Scientist, University of Illinois at Chicago
This book offers a comprehensive overview of neovascular glaucoma (NVG), which is an extraordinarily aggressive type of secondary glaucoma that has often been discussed as an afterthought rather than the focal subject in glaucoma reference books. NVG is considered an end stage complication in patients with certain underlying retinal diseases, most commonly diabetic retinopathy and retinal vein occlusions. Historically, NVG has been one of the most difficult types of glaucoma to manage, with a high failure rate for traditional glaucoma surgery, and often progression of the underlying retinal disease despite “standard of care” treatment. Chapters cover advancements made in recent years in the management of the underlying ischemic retinal conditions that lead to NVG, including the use of anti-vascular endothelial growth factor (anti-VEGF) medications. Additionally, chapters discuss glaucoma surgeries, which have become less invasive in recent years with the advent of microinvasive glaucoma surgery (MIGS). This book offers an up-to-date reference regarding current concepts in the diagnosis, as well as medical, laser, and surgical treatment of NVG in the anti-VEGF era, with attention to the close collaboration between glaucoma specialists and retina specialists. Neovascular Glaucoma - Current Concepts in Diagnosis and Treatment will change the way ophthalmologists manage NVG, ensuring patients better outcomes. It is a must-have resource for ophthalmologists worldwide.
