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Top-Ten Glaucoma Symposium Rotterdam
February 10, 2001, Rotterdam, the Netherlands
Hans G. Lemij
Do not make trabeculectomies in the inferior fornix, for fear of endophthalmitis. Instead, consider a Baerveldt implant in refractory glaucoma cases.
Use a spot size of no smaller than 100-200 µm in laser suture lysis in order to minimize the risk of endophthalmitis.
So-called topical treatment in mice studies may be illusory, because a single drop could be like throwing a bucket full of eye drops into a human eye.
In Humphrey perimetry printouts, disregard the gray scales for detecting early defects. Look at the pattern deviation probability map instead.
IOP in the lower teens carries the best visual prognosis in glaucoma.
SITA SWAP is in the offing.
In ocular hypertension, scanning laser polarimetry may detect conversion to glaucoma up to 24 months before perimetric conversion.
Scanning laser polarimetry can be used for screening in a telemedicine fashion. In Rotterdam, over 4% of 800 screenees were found to have previously undiagnosed glaucoma.
Brimonidine eye drops reach intravitreal concentrations that may be neuroprotective.
The aim of glaucoma treatment is to preserve visual function with a minimum of side-effects at an affordable cost.
