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Top-Five of the Glaucoma Society of India Annual Meeting
Mumbai, India, October 2–4, 2015
Prateep Vyas, Indore, India
Teaching and training for better Glaucoma services to the community
- In India, about 12 million people are estimated to have glaucoma which is a leading cause of irreversible blindness, accounting for about 13% of all blind people in the country. Epidemiological data suggest that more than 90% of glaucoma cases in India are undiagnosed. Causes of gross under-diagnosis include lack of awareness and education in the public and lack of glaucoma related health services to the community due to shortage of human resources among others. A sustained educational campaign is required to bridge this gap. A new model to educate the public as well as health care providers was discussed. The model is a win-win situation for all. (S.S. Pandav)
- The importance of good clinical examination and documentation was highlighted and the fact that newer technology may add value to your clinical diagnosis was reiterated. However, there is no substitute patient centric approach in clinics. None of the technology at our disposal offers acceptable sensitivity and specificity and it is likely that based on just these reports either glaucoma can be over-diagnosed or missed. (G. Chandrasekhar)
- Bleb failure management should actually begin by identifying and treating pre-operative risk factors, avoiding intra-operative risk factors and ultimately managing post-operative risk factors. The post-operative management depends on the timing of IOP rise and also the site of aqueous obstruction. It is not always that elevated IOP is the presenting feature of bleb failure. (Sunil Jain)
- The value of good clinical examination to differentiate between conditions that can be mistaken for glaucoma, such as congenital anomalies (coloboma, pit, tilted disc, large disc, etc.), neurological, traumatic neuropathy, etc. was emphasized. Also, the role of imaging technology and other perimetry in differentiating glaucoma from mimics of glaucoma was highlighted. If the ONH and RNFL are not appropriately examined and correlated, this may lead to a wrong diagnosis of glaucoma. (Prateep Vyas)
- Myopic disc can be mistaken for glaucomatous disc; tilted myopic disc alfa and beta zone of myopic disc should be differentiated from glaucomatous changes. Study of the lamina cribrosa and other disc parameters by newer imaging modalities may be helpful in differentiating myopic disc from glaucomatous disc. (Vinay Nangia)
