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| Preface | p. xix |
| All About Glaucoma | |
| What is glaucoma? | p. 1 |
| What are the basic parts of the eye? | p. 2 |
| What are the names of the different types of glaucoma? | p. 4 |
| What is the difference between glaucoma and ocular hypertension? | p. 5 |
| My doctor says I am a glaucoma suspect. What does this mean? | p. 5 |
| What is normal eye pressure? | p. 5 |
| With glaucoma, what happens to the intraocular pressure in the eye? | p. 6 |
| Can I develop glaucoma without having an increase in eye pressure? | p. 6 |
| How common is glaucoma? | p. 7 |
| I see very well and do not wear glasses. How can I have glaucoma? | p. 7 |
| Does glaucoma cause blindness? | p. 7 |
| Can my children inherit glaucoma from me? | p. 8 |
| Is glaucoma contagious? | p. 8 |
| Is glaucoma caused by stress? | p. 8 |
| What is cupping of the optic nerve? | p. 8 |
| How do I know if my optic nerve is damaged from glaucoma? | p. 9 |
| My doctor says there is a hemorrhage on my nerve. What does this mean? | p. 10 |
| What are the risk factors for glaucoma? | p. 10 |
| Does glaucoma cause high blood pressure? | p. 11 |
| If my blood pressure is high, will my eye pressure be high? | p. 11 |
| Does glaucoma produce eye strain and headaches? | p. 11 |
| Should I avoid over-the-counter medications if I have chronic glaucoma? | p. 11 |
| Some patients with glaucoma feel pain. Is this common? | p. 12 |
| What is the cause of acute glaucoma? | p. 12 |
| Does glaucoma cause cataracts? | p. 13 |
| Does caffeine make glaucoma worse? | p. 13 |
| Will I go blind from glaucoma? | p. 13 |
| Can vision deteriorate despite treatment for glaucoma? | p. 13 |
| Who diagnoses and treats glaucoma? | p. 14 |
| Will my glaucoma ever go away? | p. 14 |
| Is any research being done to promote early diagnosis of glaucoma? | p. 14 |
| Are there any popular misconceptions about glaucoma? | p. 14 |
| In the early stages of glaucoma can I feel pressure in my eye? | p. 15 |
| Does glaucoma commonly cause blindness in black North Americans? | p. 15 |
| Does emotional stress affect my intraocular pressure? | p. 15 |
| Can lack of sleep or emotional stress associated with the visual field test push my pressure up on the day of the eye examination? | p. 15 |
| Will changing my diet or taking herbs help my glaucoma? | p. 16 |
| Does smoking or drinking alcohol have an impact on my glaucoma? | p. 16 |
| My eyes feel gritty and tender. Is this a result of the high pressure from glaucoma? | p. 16 |
| Will sexual activity affect my glaucoma? | p. 17 |
| Does Viagra improve or worsen glaucoma? | p. 17 |
| What is congenital glaucoma? | p. 17 |
| What is developmental glaucoma? | p. 17 |
| What is juvenile glaucoma? | p. 18 |
| Can babies be born with glaucoma? | p. 19 |
| How does chronic glaucoma differ from other glaucomas? | p. 19 |
| Is eye pressure affected by menopause? | p. 20 |
| My distance vision has deteriorated a lot in the past few months. Is this due to glaucoma? | p. 20 |
| My eyeball hurts when I read a lot. Does eye strain cause glaucoma? | p. 20 |
| Can a blow to the eye cause glaucoma? | p. 20 |
| What is pseudoexfoliation? | p. 21 |
| What is pigmentary glaucoma? | p. 21 |
| What is neovascular glaucoma? | p. 22 |
| Can I do anything to help my glaucoma? | p. 22 |
| Tests for Glaucoma | |
| How often should I undergo testing for glaucoma? | p. 24 |
| Are any of the tests for glaucoma painful? | p. 24 |
| Why does my ophthalmologist use drops to enlarge my pupils? Can this damage my eyes? | p. 24 |
| Why does my ophthalmologist shine bright lights in my eye at every examination? | p. 25 |
| Is the visual field test bad for my eyes? | p. 25 |
| Why must I have a visual field test so often? | p. 25 |
| Does the field test cause discomfort? | p. 26 |
| What is a diurnal tension curve? | p. 26 |
| What methods are used to measure pressure? | p. 27 |
| What is the yellow dye placed in my eye before a pressure test? | p. 27 |
| I have undergone a procedure in which I'm told to lie flat while the specialist puts a metal device on my eye. What is the purpose of this? | p. 27 |
| What other methods exist to check pressure? | p. 28 |
| I recently underwent scanning laser ophthalmoscopy. What is this? | p. 28 |
| Is the scanning laser ophthalmoscope dangerous? | p. 28 |
| What are optic nerve photographs? Why do I need them? | p. 29 |
| Will the bright flashes of the photos damage my eyes? | p. 29 |
| What is HRT? | p. 29 |
| What is the nerve fibre layer analyser? | p. 30 |
| What is OCT? | p. 30 |
| What is frequency doubling perimetry? | p. 30 |
| Are there any blood tests for glaucoma? | p. 30 |
| Is there a role for genetic testing in glaucoma? | p. 31 |
| What is corneal thickness testing (pachymetry)? | p. 31 |
| All About Treatment | |
| Eye Drops | |
| What if I forget to take my eye drops? | p. 33 |
| What about side effects from drops? Can they be avoided? | p. 33 |
| I use three eye drops. How far apart should I space these drops? | p. 34 |
| Does it matter which drop goes in first? | p. 35 |
| Do the eye drops cause cataracts? | p. 35 |
| Can I miss the occasional eye drop? | p. 35 |
| How can I prevent contamination when using eye drops? | p. 35 |
| Miotics (Pilocarpine [Isopto Carpine, Miocarpine] Carbachol, Phospholine Iodide) | |
| How do miotics work? | p. 36 |
| If my vision is worse with a miotic drop does this mean I am allergic to this drop? | p. 36 |
| If my vision is worse with a miotic should I stop using it? | p. 36 |
| What are the side effects of Pilocarpine and other miotic eye drops? | p. 37 |
| Pilocarpine eye drops give me a headache. Should I stop using them? | p. 37 |
| Will I ever be able to stop using my drops? | p. 38 |
| Beta Blockers (Timolol [TIMOPTIC, TIMOPTIC-XE], Levobunolol [Betagan], Betaxolol [Betoptic]) | |
| I use a beta blocker. What are they and how do they work? | p. 38 |
| I have asthma. Can I use beta blockers? | p. 38 |
| Do beta blockers produce any side effects? | p. 39 |
| What is TIMPILO? | p. 39 |
| Adrenergic Agents (Epinephrine [Eppy, Epitrate], Propine, Brimonidine, Iopidine) | |
| What is ALPHAGAN / ALPHAGAN P? | p. 39 |
| What is a C Cap? | p. 40 |
| How do I use ALPHAGAN / ALPHAGAN P eye drops? | p. 40 |
| What are some of the side effects of ALPHAGAN or ALPHAGAN P? | p. 41 |
| What are the side effects of Propine and other adrenergic agonist eye drops? | p. 41 |
| Do these drugs cause allergic reactions? | p. 42 |
| What is Apraclonidine (Iopidine)? | p. 42 |
| What are the side effects from Iopidine? | p. 42 |
| Topical Carbonic Anhydrase Inhibitors (Trusopt/Azopt) | |
| What is Dorzolamide (Trusopt)? | p. 43 |
| What is Azopt? | p. 43 |
| Topical Prostaglandin Agents (XALATAN/Lumigan/Travatan) | |
| What is XALATAN? | p. 44 |
| How are XALATAN eye drops used? | p. 44 |
| What are some of the side effects of XALATAN? | p. 44 |
| What is Lumigan (Bimatoprost)? | p. 45 |
| What is Travatan (Travoprost)? | p. 45 |
| Combination Drops | |
| What is COSOPT? | p. 46 |
| What are some of the side effects of COSOPT? | p. 46 |
| What is Xalacom (Xalatan/Timolol maleate combination)? | p. 47 |
| What is COMBIGAN (Timolol/Alphagan)? | p. 47 |
| Oral Medications | |
| Can tablets such as Diamox and Neptazane help treat my glaucoma, and if so, how? | p. 47 |
| Do tablets such as Diamox or Neptazane have any side effects? | p. 48 |
| Other Medications | |
| Is smoking marijuana beneficial in relation to glaucoma? | p. 48 |
| Patient Compliance | |
| Is there anything I can do to prevent vision loss? | p. 49 |
| I often forget to take my medications. What can I do to improve this? | p. 49 |
| Laser Treatment | |
| What is laser trabeculoplasty? | p. 50 |
| What is selective laser trabeculoplasty? | p. 51 |
| Does laser treatment cause cataracts? | p. 51 |
| Will laser treatment cure my glaucoma? | p. 51 |
| What are the dangers of laser trabeculoplasty? | p. 51 |
| Does Argon or selective laser trabeculoplasty always work? | p. 52 |
| Do I need to continue using my drops after laser treatment? | p. 52 |
| Can laser treatment be used alone? | p. 53 |
| Why do I need laser treatment if my vision is good? | p. 53 |
| What is a laser iridotomy? | p. 53 |
| Can laser iridotomy result in a hole that is too large? What are the other complications? | p. 53 |
| How long should I stay home from work after laser treatment? | p. 54 |
| I have been told I need a ciliary body destructive procedure. What is this? | p. 54 |
| What is direct ciliary process laser treatment (endocyclophoto-coagulation)? | p. 55 |
| Surgery | |
| What kind of surgical treatment is available for glaucoma? How successful is it? | p. 56 |
| Does glaucoma surgery cause cataracts? | p. 57 |
| Do I need to stay in hospital if I have glaucoma surgery? | p. 57 |
| Is surgery painful? | p. 57 |
| What happens if I attempt to blink during surgery? | p. 58 |
| What happens if I cough during surgery? | p. 58 |
| Can I see during the operation? | p. 58 |
| Will my eye hurt after surgery? | p. 59 |
| What can go wrong during eye surgery? | p. 59 |
| What are antifibroblastic agents? | p. 60 |
| Is there a role for early surgery in glaucoma? | p. 61 |
| What is successful surgery? | p. 61 |
| What can go wrong after surgery? | p. 62 |
| How will my eye look after surgery? | p. 62 |
| My eye feels dry after surgery. Is this normal? | p. 63 |
| My eye feels wet since surgery. Is this normal? | p. 63 |
| The doctor massaged my eye after surgery. Is this a routine procedure? | p. 63 |
| Can high pressure develop after surgery? | p. 64 |
| Can surgery produce a soft eye? | p. 64 |
| My surgeon says I need a suture cut after glaucoma surgery. Is this necessary? | p. 65 |
| Can surgery cause blindness? | p. 65 |
| My doctor says I have malignant glaucoma (ciliary block). What is this? | p. 66 |
| Since surgery I have noticed a raised white blob under my upper lid. What causes this? | p. 66 |
| Do blebs become less effective with time? | p. 67 |
| Can blebs cause problems? | p. 67 |
| Can blebs cause discomfort? | p. 67 |
| My bleb is still present but my pressure is increasing. Is this a problem? | p. 67 |
| Can blebs have serious complications? | p. 68 |
| How are bleb leaks treated? | p. 68 |
| How do I know if my bleb is infected? | p. 69 |
| Should I take any precautions after my surgery? | p. 69 |
| My doctor says I need a Molteno/Ahmed/Baerveldt implant. What is this? | p. 69 |
| Are there any other forms of glaucoma surgery? What is non-penetrating surgery? | p. 70 |
| Glaucoma Societies | |
| In Canada | p. 72 |
| In the United States | p. 72 |
| In the United Kingdom | p. 72 |
| Figures | |
| Flow of Fluid in the Eye | p. 73 |
| Nerve Damage in Glaucoma | p. 74 |
| Effect of a Laser Burn (Iridotomy) on the Iris for Treatment of Acute Glaucoma | p. 75 |
| Laser Trabeculoplasty | p. 76 |
| Filtration Surgery | p. 77 |
| Results of Filtration Surgery | p. 78 |
| A Molteno | p. 79 |
| Other Reading Materials | p. 81 |
| Glossary of Glaucoma Terms | p. 83 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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