Review of Optometry articles from March 2006

Review of Optometry archives from March 2006

Contrary to what many doctors.(Child abuse)(Brief article)
March 15, 2006... "Contrary to what many doctors have been taught, we found that the number and location of hemorrhages of the eye's retina aren't always proof of child abuse," forensic pathologist Patrick Lantz, M.D., reported at the recent American Academy of...

Glaucoma patients using prostaglandins.(Brief article)
March 15, 2006... Glaucoma patients using prostaglandins had a mean adherence rate of 76% on average, says a study in January's American Journal of Ophthalmology. In other words, patients skip their drops about one-quarter of the time, on average. "Opportunities...

Archives of Ophthalmology.(Brief article)
March 15, 2006... Intraocular pressures hit a peak during sleep for most patients who have primary open-angle glaucoma, according to a study by Japanese researchers in February's Archives of Ophthalmology. Among 148 patients with untreated primary open-angle...

N.C. kids' vision law under attack: eleven school boards are suing the state. This, amid O.D.-related controversy.(News Review)
March 15, 2006... Nearly a dozen North Carolina school boards and at least one individual are suing the state over its recently adopted children's vision law. In the lawsuit, the school boards, along with the North Carolina School Boards Association, say that...

Supreme Court denies hearing on Tennessee law regulating optometric practices and retail stores.
March 15, 2006... An attempt by LensCrafters, Cole Vision Corp., U.S. Vision and the National Association of Optometrists and Opticians (a trade group) to throw out a 1967 Tennessee O.D. law failed, as the highest court in the land refused to hear the case. ...

Florida O.D. sues M.D. for malpractice.(News Review)
March 15, 2006... An optometrist in Florida successfully sued an ophthalmologist for medical malpractice. Ophthalmologist Samuel Poppell, of Ft. Walton Beach, diagnosed optometrist James Hemmig, of Niceville, with dry eye syndrome. But Dr. Hemmig later found out...

Oklahoma kills bill to cut 'surgical' procedures.(News Review)
March 15, 2006... The Oklahoma legislature failed to approve a bill--which was backed by organized medicine--that would have revoked optometrists' ability to perform certain "surgical" procedures. Introduced earlier this year, the bill (H.B. 2740) was...

Optometrist puts practice up for sale ... on eBay.(Brief article)
March 15, 2006... An optometrist in Wilkes-Barre, Pa., has apparently done a first: Brian O'Donnell, O.D., put his practice up for sale on eBay. The asking price: $450,000. "This business includes over $200,000 worth of equipment, supplies and related...

Sweating the small stuff: sometimes, the most basic things in life prove to be the greatest challenges.(Editorial)
March 15, 2006... When I visit optometrists in their offices or at educational meetings, I occasionally hear this complaint: "Some of your editorial content is beyond the scope of the average practicing O.D. like myself." I always follow up on such statements by...

Privacy and private parts: Uncle Sam gave us HIPAA. Now he wants to spy into our computers. So, if I look at www.bikini.com to study anatomy, is that HIPAA-protected?(Health Insurance Portability and Accountability Act )
March 15, 2006... Privacy is such a big deal these days. I sure am glad HIPAA came along. Before HIPAA, we would see a patient and then call everyone to tell them all the patient's innermost secrets. I know I'm much more successful now that I don't have to waste...

A game plan for better office design: this architect reveals surprising ideas to improve your office layout and, ultimately, your practice.
March 15, 2006... My architectural firm has been designing eye care offices for more than 30 years. In just the last 10 years, we've designed more than 125 such facilities, both in the United States and abroad. [ILLUSTRATION OMITTED] Although each...

The truth behind spectacle remakes: how to prevent them, how to plan for them, and why your office needs a written policy to manage them.
March 15, 2006... Fifteen percent of all glasses made in the United States will have to be remade. (1) That's a big number and I admit to contributing my fair share. But we all have remakes. Spectacle rechecks, remakes and difficult patients are all facts of...

It's not too late to start treating glaucoma: learn why some O.D.s have been avoiding incorporating glaucoma into their practices, why you should treat the disease, and the steps you can take to get started.(Disease/Disorder overview)
March 15, 2006... Despite that all states but one now allow optometrists to prescribe most glaucoma medications, many optometrists still do not treat glaucoma patients. Rather, these O.D.s refer them to ophthalmologists. But, why, given that optometrists are...

Help children to ditch the itch: spring is almost here. So are ocular allergies. Treating children, once problematic, is now much easier to handle.(Disease/Disorder overview)
March 15, 2006... With the start of spring almost here, you can expect to see more patients who have ocular allergy in your practice. A significant portion of this population will be children. Consider: Some 12% of children younger than age 18 in the United...

A change for comfort's sake: trying a new lens can really pay off.(Contact Lens Technology Update)
March 15, 2006... One of the most common complaints optometrists encounter from contact lens wearers is, "my contacts feel dry." This is especially true for contact lens wearers who work on computers (which is practically everyone) and even more the issue for...

Does unilateral keratoconus exist? And if it does, is LASIK permissible on the 'normal' eye? Research suggests it isn't.(Disease/Disorder overview)
March 15, 2006... Is it possible to have keratoconus in only one eye? At least some patients seem to. Their "good" eyes show no detectable sign of keratoconus. The question of unilateral keratoconus sounds strictly theoretical, without any clinical...

Is your patient a Heart Attack waiting to happen? An introduction to the 11th annual comanagment report.
March 15, 2006... The traditional concept of comanagement involves a doctor of optometry working with a surgeon or specialist in the areas of pre- and post-operative cataract or LASIK care or disease management, such as diabetic retinopathy or glaucoma. We...

Young, healthy patient sees gray spots and loses vision: this female patient was diagnosed with acute retinal pigment epitheliitis, which resolved without treatment.(Case Report)
March 15, 2006... A 23-year-old white female who wears contact lenses presented for a routine eye exam. The patient reported a decrease in her distance vision but had no other complaints. She reported no health or ocular history problems. Her only...

Review of Optometry & SECO International, LLC presents ... Bermuda 2006: a meeting of clinical excellence.(Calendar)
March 15, 2006... JULY 13-16 14 HOURS OF CE CREDITS [ILLUSTRATION OMITTED] Fairmont Hamilton Princess, Hamilton, Bermuda Due to POPULAR DEMAND... the Review of Optometry's annual ForeSight East Conference heads back to the spectacular and...

Get to know your pharmacist: to get the service you want, first understand what these busy health professionals really do. Know your pharmacist and you'll go far.
March 15, 2006... Q When I prescribe Pred Forte (prednisolone acetate 1%, Allergan), I want the patient to have the brand name product, not the generic. I always sign on the "Dispense as Written" line on the Rx, but the pharmacist often still dispenses the...

Monthly modality makes sense--for patients and practitioners.
March 15, 2006... Today's contact lens wearers have embraced the enhanced vision, convenience, and comfort that modern lenses can provide. They also have become savvy about their purchasing options, and take advantage of inexpensive deals online and through...

Lens-induced stem cell deficit: this can occur as the result of mechanical trauma or inflammatory changes.(fibrovascular pannus)
March 15, 2006... Q A healthy, long-time soft lens patient has a significant fibrovascular pannus (FVP) superiorly, epithelial insult, mild limbal hyperemia and a relatively quiet bulbar conjunctiva. A corneal specialist thinks this might be a stem cell...

Raised lesion occupies arcade: is this suspicious finding related to the patient's history of breast and bladder cancer, or does it represent something different?
March 15, 2006... A 69-year old white female presented for an eye exam and reported difficulty reading fine print for the past several months. Her last eye exam was approximately three years earlier. The patient received her current eyeglass prescription at that...

Just an eyedrop? Think again: the following column illustrates the importance of always remembering the potency of ophthalmic pharmaceuticals.
March 15, 2006... A middle-aged female presents with a minimally injected right eye of one day's duration. She says her eye has been very itchy, and she admits to rubbing it a lot. There is a mild punctate epitheliopathy that appears consistent with a mechanical...

3D-Eye Office upgrade.
March 15, 2006... 3D-Eye Office, a CD-ROM from eyeMaginations, Inc., uses 3D animation for marketing (either self-promotion or free vendor participation) and to educate patients about clinical procedures, ocular anatomy, refractive errors, ocular pathology,...

Patient education software.(Practice Management)
March 15, 2006... The Ocutouch 360 patient education CD-ROM, from Trevi Technology, features thousands of instant-access illustrations and animated narratives to educate your patients about ocular procedures, treatments and conditions. The software features an...

Toric Progressive.(Contact Lenses from PolyVue)(Brief article)
March 15, 2006... The HDX Toric Progressive, from PolyVue, is a fully molded planned replacement lens that incorporates patented aberration-control optics that provide clear, crisp vision, the company says. The lens is stabilized with a prism ballast to ensure...

59 Toric soft contact lens.(Contact Lenses)(Brief article)
March 15, 2006... The 59 Toric soft contact lens from SpecialEyes LLC enables you to adjust the (fit) size and base curve in 0.1mm increments and the correction in 0.10D increments to provide patients with a custom fit, the company says. [ILLUSTRATION...

Progressive lenses.(from Essilor of America)(Brief article)
March 15, 2006... Varilux Physio and Varilux Physio 360[degrees], two new progressive lenses from Essilor of America, feature a patented new design and manufacturing process known as W.A.V.E. Technology. W.A.V.E., which stands for Wavefront Advanced Vision...

Juicy Couture Collection from Safilo Group.(Eyeglass frames)(Brief article)
March 15, 2006... Safilo Group introduces 10 new frames in its Juicy Couture Ophthalmic Collection: * Baby Doll, which combines a plastic front and metal temples and has a softened rectangular shape. It comes in size 51/15/135 and in colors black-blue,...

Givenchy from Viva International.(Brief article)
March 15, 2006... Viva International Group introduces three new women's styles from Givenchy: * SGV540S, which is made of handmade plastic, has a modified rectangle shape and has Swarovski crystals on the temples. The frame comes in size 52/14/140 and...

Magic Clip from International.Viva.(Product introduction)(Brief article)
March 15, 2006... Viva International Group introduces three new women's metal styles from Magic Clip, under the Color Concert grouping: [ILLUSTRATION OMITTED] * M316, which has a muffin shape. It comes in size 51/18/135 and in colors purple, pink and...

Disney Princess Eyewear from marchon.(FRAMES)(Brief article)
March 15, 2006... Marchon introduces six frames from the Disney Princess Eyewear Collection for girls ages six to nine: [ILLUSTRATION OMITTED] * Princess Belle, which is made of stainless steel and has a modified oval shape. It comes in sizes 42/17/120...

Flexon from marchon.(Eyeglass frames)(Brief article)
March 15, 2006... Marchon introduces four new styles from Flexon: * 1134, a unisex metal frame that has a modified rectangular shape. It comes in sizes 51/20/140 and 53/20/145 and colors matte black, light gunmetal, autumn brown and steel blue. This frame is...

Fendi from marchon.(Eyeglass frames)(Brief article)
March 15, 2006... Marchon introduces four new styles from Fendi's collection for women: * FS 339L, which is made of plastic and leather temples with bold stitching and has an oversized eye shape. It comes in size 68/15/125 and colors eggplant, powder dark...

Meetings + conferences.(Calendar)
March 15, 2006... April * 28-30. Indiana Optometric Association Spring Convention, Indianapolis. CE hours: TBD. Contact Carolyn Winfree, 201 North Illinois St., Suite 1920, Indianapolis, IN 46204; call (317) 237-3560; fax (317) 237-3564; e-mail...

These lids are a drag.(photophobia and lacrimation)(Brief article)
March 15, 2006... History [ILLUSTRATION OMITTED] A 47-year-old white female presented to the clinic and reported pain, photophobia and lacrimation, in both eyes, upon waking. Her ocular history was significant for previously diagnosed dry eye. ...

From the authors.(Eye disease )(Editorial)
March 15, 2006... Dear Colleagues, Once again, we are pleased to bring you our annual edition of the Handbook of Ocular Disease Management. This year is a very special one for us, because it marks our 10th anniversary of working together on this project....

Chronic epiphora.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Epiphora describes the spillover of tears from the eye onto the lids and ocular adnexa. Rather than an absolute diagnosis, epiphora is more of a clinical sign that is suggestive of insufficient tear drainage. Numerous...

Eyelid laceration.(EYELIDS AND ADNEXA )
March 15, 2006... Signs and Symptoms Eyelid lacerations occur more commonly in men than women (1,2) and are relatively common in children. (3,4) There will be a history of facial or head trauma immediately preceding laceration. (2,5,6) While sharp objects...

Phthiriasis palpebrarum.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Patients who manifest this particular form of blepharoconjunctivitis typically are sexually active. There is often concurrent genital involvement. (2) The patient will frequently report eyelid irritation and itching;...

Chalazion.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Patients with chalazia typically present with one or more focal, firm nodules in the upper or lower eyelid, seeking care primarily because of cosmetic concern or obstruction of vision. The lesions are generally painless,...

Conjunctival abrasion and laceration.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Men are five times more likely than women to receive conjunctival or scleral trauma. (1,2) These types of injuries are most common in younger age groups: 54% of patients receiving them are younger than 40 years and only...

Toxic conjunctivitis.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Toxic conjunctivitis, sometimes referred to as toxic follicular conjunctivitis, is a syndrome resulting from chronic ocular exposure to one or more foreign substances. The typical scenario involves a patient who has...

Ocular cicatricial pemphigoid.(Signs and Symptoms )(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Ocular cicatricial pemphigoid (OCP), or mucous membrane pemphigoid, is the most common, progressive, chronic immunobullous disorder of the conjunctiva. (1-6) It is classified as an autoimmune disease in which the ocular...

Pingueculitis.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Pingueculae are characterized by yellowish, slightly raised interpalpebral deposits in the nasal and temporal limbal conjunctiva. (1-7) In most cases, pingueculae are an ancillary finding, causing little if any ocular...

Building a therapeutic practice, part 1.(Optometry has unquestionably become a therapeutic profession)
March 15, 2006... Optometry has unquestionably become a therapeutic profession. Attend any continuing education meeting or pick up any professional publication and you will plainly see that most of the content and curricula center on the therapeutic management...

Building a therapeutic practice, part 2.
March 15, 2006... Is therapeutic care profitable? Certainly it can be, provided that there is acknowledgement of and adherence to a few basic principles. First, practitioners must not devalue their professional services or time. Many ODs are so grounded in...

Fungal keratitis.(CORNEA)
March 15, 2006... Signs and Symptoms Fungal keratitis shows no predilection for age, gender or race. (1) Often, patients have incurred corneal trauma, usually from organic vegetative matter. Other significant risk factors include ocular or systemic...

Granular dystrophy.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Granular dystrophy (sometimes referred to as Groenouw Type I dystrophy) is a bilateral condition that affects the central regions of the cornea while sparing the periphery. (1) Patients may be diagnosed on routine...

Contact lens acute red eye (CLARE).(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Contact lens acute red eye (CLARE), as the name implies, is an acute inflammatory condition associated with contact lens wear. The classic presentation involves a patient in extended-wear hydrogel contact lenses who,...

Microcornea.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Microcornea may present in patients of either gender and at any age; however, since it represents a congenital condition, it is typically detected during childhood. The condition may be unilateral or bilateral. In...

Corneal laceration.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Any person experiencing direct ocular or corneal trauma can potentially develop a corneal laceration. Typically, the injury comes from a metallic object such as a hand tool. However, a myriad of possible traumas could...

Fourth-generation fluoroquinolones and bacterial keratitis.(Drug therapy )(Disease/Disorder overview)
March 15, 2006... Bacterial keratitis is a potentially sight-threatening condition that demands urgent and aggressive management. Prior to 1993, the treatment regimen for bacterial corneal ulcers consisted of fortified antibiotics--typically tobramycin and/or...

Choroidal folds.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Choroidal folds can occur in any patient regardless of age, race or gender. Patients may be asymptomatic, though many will report visual acuity reduction. Hyperopia is frequently present and a number of patients will...

Choroidal nevus & choroidal melanoma.(UVEA AND GLAUCOMA)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Choroidal nevi and choroidal melanomas both represent space-occupying masses of the uveal tract. Choroidal nevi appear as round or oval, flat or slightly elevated (1 mm or less) lesions within the posterior fundus; the...

Pars planitis.(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Pars planitis typically affects younger patients between 5 and 40 years. (1) It has long been believed that patients with pars planitis have no significant associated medical history and are otherwise healthy. However,...

Acute angle closure glaucoma.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms While any person can experience acute angle closure glaucoma (AACG), this condition is most common in patients of Asian descent. (1-6) Patients are also likely to be older, hyperopic and female. (2-8) The etiology of...

Contemporary glaucoma therapy: lowering intraocular pressure or controlling intraocular pressure?(UVEA AND GLAUCOMA)
March 15, 2006... The goals of glaucoma management are preservation of the health of the optic nerve and nerve fiber layer and the integrity of the visual field. To achieve these aims, the intraocular pressure (IOP), which is the only modifiable risk factor in...

Frequency doubling technology (FDT Matrix[TM] perimetry.(Glaucoma is a leading cause of blindness )
March 15, 2006... Glaucoma is a leading cause of blindness worldwide. (1-10) Retinal ganglion cell death is its pathological hallmark. (1-8) There is accumulating evidence that glaucomatous optic neuropathy extends from the retinal ganglion cells deep into the...

Idiopathic polypoidal choroidal vasculopathy (posterior uveal bleeding syndrome).(VITREOUS AND RETINA)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Idiopathic polypoidal choroidal vasculopathy (IPCV), also known as posterior uveal bleeding syndrome, is a unilateral disease entity that produces numerous periodic bouts of retinal pigment epithelium (RPE) detachment...

Commotio retinae.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Commotio retinae presents as an area of milky white neurosensory retinal edema following blunt ocular trauma. Visual acuity varies depending upon the extent and location of the lesion. The rate of emergency...

Posterior vitreous detachment.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Patients developing posterior vitreous detachment (PVD) are commonly older adults with myopia; women appear to be more prone. (1) Although PVD is clinically found most commonly in older patients, it has been demonstrated...

Optomap technology.(ophthalmic device for medical examination of retina)
March 15, 2006... Douglas Anderson, following a tragic loss of vision in his five-year-old son from an undiagnosed retinal detachment, founded Optos[R] of North America, Britain and Denmark in 1992. Although his son had regular eye exams, the tests seemed...

Indocyanine green angiography (ICG) primer.(VITREOUS AND RETINA)
March 15, 2006... Indocyanine green angiography (ICGA) is an adjunct procedure to intravenous sodium fluorescein angiography (IVFA). (1-5) It is used to diagnose choroidal pathologies when standard angiographic techniques cannot be employed or would provide poor...

Aberrant regeneration of cranial nerve III.(Signs and Symptoms)
March 15, 2006... Signs and Symptoms In that there are two types of aberrant regeneration of cranial nerve (CN) III, that is, primary and secondary, the onset of presentation will vary. Patients with secondary aberrant regeneration of CN III present...

Horner's syndrome.(NEURO-OPHTHALMIC DISEASE)(Pathophysiology)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Horner's syndrome is characterized by an interruption of the oculosympathetic nerve supply somewhere between its origin (in the hypothalamus) and the eye. (1-9) The classic clinical findings associated with Horner's...

Tonic pupils.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Tonic pupils (sometimes referred to as internal ophthalmoplegia) are the result of damage to the parasympathetic innervation to the eye, resulting in decreased function of the iris sphincter as well as the ciliary body....

The Argyll Robertson pupil.(NEURO-OPHTHALMIC DISEASE Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms In 1869, Douglas Argyll Robertson was the first to describe several patients whose pupils reacted poorly to light with a normal near response. I It wasn't until 30 years later that physicians realized that the etiology...

Migraine.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Migraine is a chronic, episodic condition chiefly heralded by headache, but additionally characterized by a specific group of signs and symptoms. Migraine affects women approximately two to three times as often as men,...

Differential diagnosis of headache.(Disease/Disorder overview)
March 15, 2006... I. Pain-sensitive structures in the head A. Intracranial 1. Bones 2. Sinuses 3. Meninges (Dura mater) 4. Arteries of the dura mater 5. Great venous sinuses 6. Intracerbral arterie 7. Cranial nerves V, VII,...

Sturge-Weber syndrome.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms: Sturge-Weber syndrome (SWS) represents a constellation of signs and symptoms involving the skin, eyes and central nervous system. A congenital condition, SWS typically presents at birth with a characteristic facial...

Lyme disease.(Signs and Symptoms)(Disease/Disorder overview)
March 15, 2006... Signs and Symptoms Lyme disease (LD), also known as Lyme borreliosis, is a worldwide, tickborne, multi-system inflammatory disorder caused by the pathogen Borrelia burgdorferi. The patient with LD will often have a history of a tick bite,...

Neurally mediated syncope.(Signs and Symptoms)
March 15, 2006... Signs and Symptoms The word syncope originates from the Greek word "synkopen" meaning "to cut short." Medically, syncope is defined as a transient loss of consciousness from a common fainting spell. (1) Syncope represents an expansive...

Rosacea.(Signs and Symptoms)
March 15, 2006... Signs and Symptoms Rosacea (formerly referred to as acne rosacea) is a dermatologic condition that presents with characteristic skin findings on the face and nose. (1-21) Rosacea-specific signs may include periodic skin flushing, visible...

New perspectives on alllergy.(OCULOSYSTEMIC DISEASE)
March 15, 2006... According to the National Institute of Allergy and Infectious Diseases (NIAID), more than 50 million Americans currently suffer from some form of allergic disease. (1) Allergies are the sixth leading cause of chronic illness in the United...

Professional communication.
March 15, 2006... There is an art and decorum to efficiently communicating with colleagues and physicians. This skill is critical, as it allows one to remain in compliance with rules set forth by many third-party plans (written reports mandatory), and it also...

Introductory remarks.(Annual meeting of the Optometric Glaucoma Society )
March 15, 2006... The annual meeting of the Optometric Glaucoma Society (OGS) was held on December 7, 2005, with Stephen Drance, OC, MD, as the 2005 OGS honoree. In a departure from past meetings, this conference was held in La Jolla, California (about 10 miles...

A second look at the Normal Tension Glaucoma Study: the study is often usually remembered only as proving that IOP plays a role in normal tension patients, but the NTG study told us much more.(OGS Honoree-Lessons Learned NTGS)(intraocular pressure)(Clinical report)
March 15, 2006... In the early 1980s, the role of intraocular pressure (IOP) or its reduction as it related to normal tension glaucoma (NTG) patients was unknown. So a study was designed to determine whether a reduction in of IOP--which was arbitrarily chosen as...

Reconciling structure and function: after developing a map that successfully combines optic nerve head analysis with standard automated perimetry, researchers added SWAP and FDT.
March 15, 2006... For the most part, clinicians diagnose and track glaucoma and ocular hypertension using two methods: visual fields and analysis of the optic disc. One measures the visual function of the subject, the other measures the structure of the optic...

Drowning in information; Starving for knowledge: the need for advanced test interpretation to improve diagnosis and management.(New Ideas, New Techniques)
March 15, 2006... The field of glaucoma is particularly rife with data-rich tests. If you look at the sum of information generated by visual field testing, nerve fiber thickness evaluation, and optic nerve topography, you quickly realize we are dealing with vast...

Nighttime IOP and its role in glaucoma: does IOP really go down at night?(intraocular pressure )
March 15, 2006... Most measurements of intraocular pressure (IOP) occur during daytime business hours. In general, IOP tends to be higher earlier in the morning and lower later in the day. The mean range of fluctuation is about 4 mm Hg in healthy patients, and a...

Measuring glaucoma with fMRI: is functional magnetic resonance imaging (fMRI) useful for measuring post-retinal visual function?(New Ideas, New Techniques)
March 15, 2006... Glaucoma is an insidious neurodegenerative disease. By the time visual defects can be detected using standard automated perimetry, as many as 50 to 60 percent of the retinal ganglion cells may have already died. (1,2) Experimental models of...

Mouse models may lead to new treatments: collagen turnover could be an important mechanism in glaucoma.
March 15, 2006... The main attraction of studying mouse models of glaucoma is the availability of advanced transgenic mouse technology. This capability markedly facilitates experimental investigation of the molecular mechanisms of glaucoma. The appropriateness...