By Robert L. Stamper MD, Marc F. Lieberman MD, Michael V. Drake MD
Authored through 3 popular experts within the box, this article presents finished insurance of diagnostic and therapy modalities for optimum glaucoma administration. Revised all through, this re-creation offers the most recent information in medical exam, randomized trials, scientific remedy, laser remedy, and surgeries. 1000s of illustrations-with many vintage black and white figures from the former versions supplemented with new colour images-depict the beneficial properties of glaucomas and step by step methods for his or her administration, whereas increased use of highlighted bins, lists, and precis tables make the cloth effortless to entry. Evidence-based and up-to-date details on all facets of the glaucomas-including body structure, genetics, interventional trials, and new surgical techniques-offer a well-rounded origin of information for making the main proficient diagnoses and selecting the best process treatment.Combines the cumulative adventure of 3 favourite glaucoma specialists-addressing a whole variety of medical wishes for practitioners of all levels-for a uniquely written coherent perspective.Includes huge references to present and traditionally vital assets to supply accomplished interpretation of the newest clinical literature.Synthesizes a classical method of the glaucomas-based on seven previous versions spanning over forty years-with the main up to date evidence-based and epidemiologically-derived classifications and outcomes.Coherently correlates with authoritative consensus records on key components of glaucoma, drawn up by means of the world-wide experts of the area Glaucoma organization, and reprinted within the text.Revamps conventional teachings at the perspective closure glaucomas, in live performance with the most recent foreign literature and applied sciences, to maintain you modern at the newest advances.Illustrates targeted surgical interventions acceptable to the entire spectrum of scientific settings-from the constructing global via modern working rooms.Examines the most recent and such a lot promising advancements in pharmacology, laser and surgical advances for glaucoma administration, to provide help to select the best sufferer approach.Illustrates beneficial yet little-known tools for medical and learn diagnoses, together with optic nerve cupping scales, bleb review tools, and extra.
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Extra info for Becker-Shaffer's Diagnosis and Therapy of the Glaucomas, 8th Edition (Becker-Shaffers)
Diamond JM, Bossert WH: Standing-gradient osmotic flow, J Gen Physiol 50:2061, 1967. Civan M, MacKnight ADC: The ins and outs of aqueous humor secretion, Exp Eye Research 78:625, 2004. Kishida S, et al: Electric characteristics of ciliary body, Jpn J Ophthalmol 25:407, 1981. Krupin T, et al: Transepithelial electrical measurements on isolated rabbit iris-ciliary body, Invest Ophthalmol Vis Sci 22(suppl):100, 1982. Becker B: Ouabain and aqueous humor dynamics in the rabbit eye, Invest Ophthalmol 2:325, 1963.
21 Schwalbe’s line Trabecular meshwork tissues Anatomy of the conventional outflow system 16 Schwalbe’s line (composed of collagen and elastic tissue) is an irregular elevation 50–150 m wide that runs circumferentially around the globe (Fig. 3-1). This line or zone marks the transition 26 In meridional section, the trabecular meshwork has a triangular shape, with its apex at Schwalbe’s line and its base at the scleral spur (see Fig. 3-1). The inner layers of the trabecular meshwork border chapter Aqueous humor outflow system overview (A) 3 (B) Fig.
22 Trabecular lamellae are attached to one another via cytoplasmic processes (Fig. 22 The sheets are fused in such a manner that only two or three layers are seen anteriorly. The sheets separate in an anterior–posterior plane so that 12–20 layers are detectable posteriorly. Sheets of the trabeculae are perforated by elliptical (transtrabec ular) openings with an equatorial orientation, with an average dimension of 12–30 microns. Perforations become progressively smaller from the superficial layers of the uveal meshwork to the deep layers of the corneoscleral meshwork (see Fig.