How do I improve medication compliance in patients with poor adherence? | Paula Anne Newman-Casey[06:15] Show
Advocating for team-based care where we train ophthalmic para-professional staff to provide directed, autonomy supportive glaucoma self-management support will improve glaucoma medication adherence. Using best practices including evidence-based interventions, individually tailored education, motivational-interviewing based counseling and reminder systems, we can help people better adhere to their recommended glaucoma medication regimen and improve their vision outcomes. How can I tell if a visual field is reliable? | Harsha Rao[06:57] Deciding the reliability of a visual field is a challenging task mainly due to the subjective nature of the test. Although the visual field report comes with a number of reliability indices, it is known that these reliability indices provide some indication on the reliability of the test but would not provide the complete information … Continue reading Postoperative shallow anterior chamber | Sirisha Senthil[06:58] Trabeculectomy is often associated with postoperative intraocular pressure-related or bleb-related problems. They need to be identified and treated appropriately to preserve the bleb function and prevent serious sight-threatening complications. A common postoperative complication after trabeculectomy (and other drainage surgeries) is shallow anterior chamber, which can be associated with hypotony or high IOP and result from … Continue reading How do I treat a bleb-related inflammation? | Vijaya Lingam[06:05] Bleb associated infection (BAI), found most commonly in thin cystic blebs, is a vision threatening complication after Trabeculectomy. There are three stages of BAI: stage I – blebitis with inflammation confined to bleb, stage II – blebitis with associated anterior chamber reaction but no vitritis, and stage III – blebitis complicated with vitritis. In order … Continue reading How can I tell if an OCT is reliable? | Donald Hood[05:21] There are four reasons given as to why the OCT may not accurately reflect a particular patient’s level of damage. Each is only partially true. First, it is believed that arcuate-like artifacts on OCT maps from healthy eyes can be confused with arcuate defects due to glaucoma. In fact, arcuate-like artifacts can be distinguished from … Continue reading Classification of Angle Closure | Tin Aung[04:49] Primary angle closure occurs when there is an anatomical obstruction of the aqueous humor outflow by the iris without a secondary pathological cause. We can identify several stages of the disease defined by the presence of certain structural and functional characteristics that define each stage. The stages have been termed as follows: Primary Angle Closure … Continue reading How do I perform a non-penetrating glaucoma surgery? | Alain Bron[09:44] In this presentation, you will find all the details on how to perform deep sclerectomy, one of the procedures for non-penetrating glaucoma surgery. This surgery is designed for open angle glaucomas and offers a much safer profile than trabeculectomy. However, the IOP-lowering effect is a bit less than trabeculectomy. The procedure does not require any … Continue reading How is Suturolysis best performed? | Eytan Blumenthal[07:15] Suturelysis (SL) is a powerful and relatively simple procedure enabling the opening of scleral flap (sub-Tenon) sutures utilizing an Argon-like (green) laser. It increases flow across the trabeculectomy fistula thus lowering intraocular pressure. During trabeculectomy, a scleral flap is created, which, if left unsutured, would flatten the anterior chamber and collapse the eye. Well-placed sutures … Continue reading How do I perform a fornix based Trabeculectomy? | Fabian Lerner[07:01] In this short video, I present my surgical technique of fornix-based trabeculectomy, step-by-step. No traction suture is used in cooperative patients. The conjunctiva is incised 1 mm from the limbus. After enlarging the incision, sub Tenon´s dissection is performed. One or more sponges soaked in a Mitomycin C (MMC) solution are applied. Cell sponges absorb … Continue reading How do I perform a fornix based Trabeculectomy? | Sir Peng Khaw[08:37] In this presentation, I describe how I carry out a fornix based trabeculectomy. The different surgical principles established through research and subsequent components of this operation have evolved into the ”Moorfields Safer Surgery System” which has increased the safety of trabeculectomy, particularly with the use of antimetabolites. The different antimetabolites and uses apart from sponge … Continue reading Role of meditation and YOGA in glaucoma patients | Tanuj Dada[06:32] YOGA is a mind-body intervention to achieve holistic health with key components including physical postures, breathing exercises, and meditation. While head-down physical postures can lead to a significant spike in IOP, recent studies indicate that mindfulness meditation focused on the breath may be a useful adjunctive therapy, positively impacting the quality of life in glaucoma … Continue reading Which tool would an individual utilize in the physical assessment of the retina and optic nerve?Some will use a direct ophthalmoscope, which is a small, handheld instrument with a light on it. However, most doctors will use an indirect ophthalmoscope as they can wear this on their head, and it gives them a wider field of vision for the examination.
Which initial clinical manifestation would a patient report with a retinal detachment?Initial symptoms of retinal detachment commonly include the sensation of a flashing light (photopsia) related to retinal traction and often accompanied by a shower of floaters and vision loss.
Which method would be appropriate to assess a patient's visual acuity using a Snellen chart?To test visual acuity, use a Snellen chart and have the patient wear glasses or contact lenses if they normally wear them.. Have patient stand 20 feet from chart.. Tell the patient to first cover the right eye, then left eye, and lastly read the chart with both eyes.. Which finding would the nurse consider abnormal when assessing a patients pupils?Which finding does the nurse consider abnormal while assessing a patient's pupils? Difference in size of the pupils.
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When interviewing a patient with a new diagnosis of glaucoma which question is most relevant to the patients condition?
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