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1 General aspects (0)   1.1 Epidemiology (9)   1.2 Population genetics (3)   1.3 Pathogenesis (0)   1.4 Quality of life (3)   1.5 Glaucomas as cause of blindness (6)   1.6 Prevention and screening (4) 2 Anatomical structures in glaucoma (0)   2.1 Conjunctiva (0)   2.2 Cornea (19)   2.3 Sclera (2)   2.4 Anterior chamber angle (2)   2.5 Meshwork (0)     2.5.1 Trabecular meshwork (7)     2.5.2 Schlemms canal (2)     2.5.3 Scleral outlet channels (0)   2.6 Aqueous humor dynamics (0)     2.6.1 Production (0)     2.6.2 Outflow (0)       2.6.2.1 Trabecular meshwork (0)       2.6.2.2 Uveoscleral (0)     2.6.3 Compostion (3)   2.7 Episcleral veins and venous pressure (0)   2.8 Iris (1)   2.9 Ciliary body (4)   2.10 Lens (1)   2.11 Vitreous body (0)   2.12 Choroid, peripapillary choroid, peripapillary atrophy (4)   2.13 Retina and retinal nerve fibre layer (24)   2.14 Optic disc (17)   2.15 Optic nerve (4)   2.16 Chiasma and retrochiasmal central nervous system (1)   2.17 Stem cells (2)   2.20 Other (0) 3 Laboratory methods (0)   3.1 Microscopy (0)   3.2 Electron microscopy (0)   3.3 Immunohistochemistry (5)   3.4 Molecular genetics (0)     3.4.1 Linkage studies (5)     3.4.2 Gene studies (19)   3.5 Molecular biology incl. 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associated with intraocular tumors (0)     9.4.9 Glaucomas associated with elevated episcleral venous pressure (1)       9.4.10 Glaucomas associated with hemorrhage (1)     9.4.11 Glaucomas following intraocular surgery (1)       9.4.11.1 Ciliary block (malignant) glaucoma (0)       9.4.11.2 Glaucomas in aphakia and pseudophakia (3)       9.4.11.3 Epithelial, fibrous, and endothelial proliferation (1)       9.4.11.4 Glaucomas associated with corneal surgery (0)       9.4.11.5 Glaucomas associated with vitreoretinal surgery (2)     9.4.15 Glaucoma in relation to systemic disease (9)     9.4.20 Other (2) 10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy (3) 11 Medical treatment (0)   11.1 General management, indication (6)   11.2 Cholinergic drugs (0)   11.3 Adrenergic drugs (0)     11.3.1 Epinephrine (0)     11.3.2 Thymoxamine, dapiprazole (0)     11.3.3 Apraclonidine, brimonidine (1)     11.3.4 Betablocker (4)     11.3.5 Other (0)   11.4 Prostaglandins 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Miscellaneous (5)

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Abstract #18077 Published in IGR 9-2

Assessment of the optic disc to measure neuroprotection

Mikelberg FS
Canadian Journal of Ophthalmology 2007; 42: 421-424

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Accurate assessment of the anatomy of the optic disc is therefore necessary to document change. The measurement of optic disc topography with scanning laser ophthalmoscopy has been shown to be accurate, reproducible, diagnostically valid, and an accurate reflection of the underlying anatomic status of the optic disc and retinal nerve fibre layer. Validated techniques have been developed to detect change over time in the surface topography of the optic disc. Ultimately, real-time in vivo analysis of the health of retinal ganglion cells should provide the best method of assessing the advisability and adequacy of treatment and the potential value of neuroprotective therapies.

Dr. F.S. Mikelberg, Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, BC. fsm@interchange.ubc.ca

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Classification:

11.8 Neuroprotection (Part of: 11 Medical treatment)
2.14 Optic disc (Part of: 2 Anatomical structures in glaucoma)
6.9.1.1 Confocal Scanning Laser Ophthalmoscopy (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.1 Laser scanning)

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