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Top-Five of the Annual Meeting of the Portuguese Glaucoma Meeting
Porto, Portugal, March 14-15, 2014
Maria da Luz Freitas
- There is sufficient evidence that shows that pseudoexfoliation is an important risk factor for the development and progression of glaucoma. There must be extra care in ophthalmolgical examination in order to perform the diagnosis and early treatment of this syndrome. There are also other ocular manifestations of pseudoexfoliation which affect the surgery these eyes that should be taken into account. (Ursula Schlötzer-Schrehardt, Erlangen-Nürnberg, Germany)
- Nowadays, the approach of patients with hypertension and glaucoma by angle closure is a challenge. Iridotomy can solve some cases. Trabeculectomy may also have success in some patients, despite being associated with an increased risk of complications. In some situations it may be necessary to extract the crystalline lens. We await with anticipation the outcome of multicenter studies. (Winifred Nolan, London, UK)
- The use of laser in different situations of glaucoma is common practice. The effectiveness after two years of treatment with iridotomy showed to be unsatisfactory by the group of M.J. Menéres; in contrast the group of S. Estrela and A. Melo showed a success rate of around 50% in trabeculoplasties after two years and the group of M. Reina assessed the relevance of iridoplasty. (M.J. Menéres, Porto; S. Estrela, A. Melo, Porto; Maria Reina, Lisbon; Portugal)
- The calculation of intraocular lenses for cataract surgery in small eyes and in eyes with shallow anterior chambers was discussed and the advantages and drawbacks of the different formulas were presented. (José Pedro Silva, Lisbon, Portugal)
- Glaucoma and quality of life is one of the greatest concerns of our days. Difficulties of application of eyedrops and mobility were studied through video recording. It was found that 20% of patients observed do not put the drop in the eye and only 40% were doing it correctly and effectively. There is a correlation between the visual field defects and limitations on tasks, although without statistical significance. (João Filipe, Coimbra, Portugal)
