Evolving global risk assessment of ocular hypertension to glaucoma.

Abstract:

PURPOSE OF REVIEW:To discuss current knowledge of global risk assessment in ocular hypertension. RECENT FINDINGS:The ophthalmologist treating patients with ocular hypertension is frequently faced with the clinical dilemma of which patients to treat and how vigorous treatment should be. The goal of risk assessment for glaucoma is to identify patients at greatest risk for symptomatic vision loss. Risk factors can be identified by history such as age, race, and family history or can be clinically observed by examination such as elevated intraocular pressure, optic nerve head appearance, central corneal thickness, and visual field abnormalities. Risk assessment is a well accepted tool in other fields of medicine. Parallels can be drawn between the evolution of risk assessment for coronary artery disease and glaucoma. Validated risk calculators for ocular hypertension are currently available mostly derived from the Ocular Hypertension Treatment Study. SUMMARY:The aim of assessing global risk for conversion from ocular hypertension to glaucoma is to identify patients who are most likely to benefit from early treatment. Calculation of risk should be accompanied by thorough analysis of risks, benefits, and alternatives for the individual patient.

journal_name

Curr Opin Ophthalmol

authors

Fechtner RD,Khouri AS

doi

10.1097/ICU.0b013e32808373a2

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

104-9

issue

2

eissn

1040-8738

issn

1531-7021

pii

00055735-200703000-00003

journal_volume

18

pub_type

杂志文章,评审
  • Trachoma elimination, approaching 2020.

    abstract:PURPOSE OF REVIEW:To review current practices for trachoma treatment with a focus on recent studies, particularly those discussing trachoma trichiasis surgery. RECENT FINDINGS:Azithromycin eye drops twice daily for 3 days may be as efficient as oral azithromycin in treating active trachoma. Facial cleanliness and envi...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000504

    authors: Diab MM,Allen RC,Gawdat TI,Saif AS

    更新日期:2018-09-01 00:00:00

  • Evaluation of the macula prior to cataract surgery.

    abstract:PURPOSE OF REVIEW:To describe recent evidence regarding methods of evaluation of retinal structure and function prior to cataract surgery. RECENT FINDINGS:Studies in patients with cataract but no clinically detectable retinal disease have shown that routine use of optical coherence tomography (OCT) prior to cataract s...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000432

    authors: McKeague M,Sharma P,Ho AC

    更新日期:2018-01-01 00:00:00

  • Update on veterinary cataract surgery.

    abstract:PURPOSE OF REVIEW:The purpose of this review is not to specifically discuss the techniques of veterinary cataract surgery, but rather to emphasize some of the differences between the veterinary and human cataract patients, procedures and outcomes. RECENT FINDINGS:In general, veterinary cataract surgery has more simila...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32831a98aa

    authors: Wilkie DA,Colitz CM

    更新日期:2009-01-01 00:00:00

  • Current concepts in vitreomacular traction syndrome.

    abstract:PURPOSE OF REVIEW:As Reese first described the vitreomacular traction (VMT) syndrome in 1970, the knowledge base about the disease has been changing over time due to the advent of the high-definition optical coherence tomography (HD-OCT). The aim of this article was to present the current information on the pathophysio...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e328352404c

    authors: Bottós JM,Elizalde J,Rodrigues EB,Maia M

    更新日期:2012-05-01 00:00:00

  • Advances in refractive surgery: microkeratome and femtosecond laser flap creation in relation to safety, efficacy, predictability, and biomechanical stability.

    abstract:PURPOSE OF REVIEW:Methods of flap creation have changed over the years from the evolution of the mechanical microkeratome to the introduction of the IntraLase femtosecond laser keratome, both of which have different mechanisms of action to create corneal resections. Previous studies report the advantages and disadvanta...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000233957.88509.2d

    authors: Stonecipher K,Ignacio TS,Stonecipher M

    更新日期:2006-08-01 00:00:00

  • Pathogenesis of idiopathic macular holes.

    abstract::An improvement in our understanding of the pathogenesis and natural history of idiopathic macular holes over the last 10 years has led to a more optimistic and interventionist approach to the surgical management of this vitreoretinal disorder. This article reviews the theories postulated for the pathogenesis of this c...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199706000-00015

    authors: Ferris JD

    更新日期:1997-06-01 00:00:00

  • Eye pain in the white and quiet eye.

    abstract:PURPOSE OF REVIEW:Eye pain is one of the most common presenting symptoms in ophthalmology. It can range from bothersome to debilitating for patients, and it can be vexing for clinicians, especially in the white and quiet eye. The purpose of this review is to provide updates of recent literature regarding eye pain and t...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000702

    authors: Kulenkamp J,McClelland CM,Lee MS

    更新日期:2020-11-01 00:00:00

  • Endothelium-derived vasoactive substances relevant to normal-tension glaucoma.

    abstract::Glaucoma is a progressive optic neuropathy that has a multi-factorial etiology. The most important risk factor is certainly an increased intraocular pressure. However, clinical observations have indicated that factors other than increased intraocular pressure also damage the neural tissue in glaucomatous optic neuropa...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199804000-00016

    authors: Orgül S,Prünte C,Flammer J

    更新日期:1998-04-01 00:00:00

  • Postcataract surgical inflammation.

    abstract:PURPOSE OF REVIEW:To describe the epidemiology, pathogenesis, and recent developments in the diagnosis and management of postcataract surgery inflammation. RECENT FINDINGS:In patients with pre-existing uveitis, control of inflammation with topical and/or systemic therapy for 3 months preoperatively continues to be imp...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32834cd60e

    authors: Taravati P,Lam DL,Leveque T,Van Gelder RN

    更新日期:2012-01-01 00:00:00

  • The impact of cataract surgery on quality of life.

    abstract:PURPOSE OF REVIEW:This review summarizes the recent literature of the impact of cataract surgery from the patient's perspective, with a focus on second-generation patient reported outcome (PRO) measures that used Rasch analysis to explore their data. RECENT FINDINGS:Irrespective of the instrument utilized, the overrid...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3283414284

    authors: Lamoureux EL,Fenwick E,Pesudovs K,Tan D

    更新日期:2011-01-01 00:00:00

  • Neuromyelitis optica: current concepts and prospects for future management.

    abstract:PURPOSE OF REVIEW:To present an overview on the clinical manifestations and an update on the current management of neuromyelitis optica (NMO). RECENT FINDINGS:NMO is associated with a significant risk of neurological, ocular and systemic morbidity. Many cases of NMO assume a relapsing course, which can lead clinicians...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3283313d1d

    authors: Hazin R,Khan F,Bhatti MT

    更新日期:2009-11-01 00:00:00

  • Lasers in cataract surgery.

    abstract::Several laser technologies including 1053-nm picosecond, excimer, erbium:yttrium-aluminum-garnet, and neodymium:yttrium-aluminum-garnet (Nd:YAG) have been studied for use in the removal of cataractous lens tissue. Nd:YAG laser phacolysis involves laser pulses striking a titanium target that are incorporated into an i...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199302000-00017

    authors: Dodick JM,Lally JM,Sperber LT

    更新日期:1993-02-01 00:00:00

  • Pharmacologic considerations for cataract surgery.

    abstract:PURPOSE OF REVIEW:A variety of options exist for perioperative, intraoperative, and postoperative medications in cataract surgery. This article reviews some of the more timely literature on "controversial" subjects in this area. RECENT FINDINGS:Recent literature may support the rationale for intracameral vancomycin at...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200402000-00010

    authors: Tipperman R

    更新日期:2004-02-01 00:00:00

  • The impact of exfoliation syndrome on therapeutic efficacy in open-angle glaucoma.

    abstract::Exfoliation syndrome is the most common identifiable cause leading to chronic open-angle glaucoma. It affects the treatment of glaucoma in various ways. The prognosis of capsular glaucoma (exfoliative glaucoma) is worse than that of open-angle glaucoma. Medical therapy and the long-term effect of laser treatment seem ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199504000-00003

    authors: Tarkkanen A,Hietanen J

    更新日期:1995-04-01 00:00:00

  • Does general anesthesia or intravitreal injection affect neurodevelopment in children undergoing ophthalmic procedures?

    abstract:PURPOSE OF REVIEW:To review recent studies on potential neurodevelopmental impacts on the pediatric population through general anesthesia events or intravitreal anti-vascular endothelial growth factor (VEGF) injection. RECENT FINDINGS:Studies on this topic have been extensive with varied reported neurodevelopmental ou...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000598

    authors: De Andrade LM,Isenberg SJ

    更新日期:2019-09-01 00:00:00

  • Cataracts in systemic diseases and syndromes.

    abstract::A comprehensive review of the ophthalmic literature on cataracts during the past year is presented. Topics covered include new epidemiologic associations, diabetic cataracts, and syndromes involving cataracts. Data from the Beaver Dam Eye Study suggest the presence of a recessive gene for nuclear sclerosis. Estrogen e...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:

    authors: Bariciak MD,Nichols BD

    更新日期:1995-02-01 00:00:00

  • Effectiveness of intracorneal ring segments for keratoconus.

    abstract:PURPOSE OF REVIEW:To review the efficacy of intrastromal corneal ring segments (ICRS) for keratoconus and with other interventions such as contacts lens, keratoplasty, and corneal collagen cross-linking. RECENT FINDINGS:Changes in ICRS thickness and size, combination of procedures, and the adaptation of a more sophist...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000582

    authors: Park SE,Tseng M,Lee JK

    更新日期:2019-07-01 00:00:00

  • Advances in medical therapy for glaucoma.

    abstract:PURPOSE OF REVIEW:To discuss a new class of medication that has recently become available for the treatment of glaucoma; as well as share insights into developments in glaucoma medicine administration which has the potential to revolutionize medical therapy for glaucoma. RECENT FINDINGS:Newly available eye drops, neta...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章

    doi:10.1097/ICU.0000000000000740

    authors: Ostler E,Rhee D,Burney E,Sozeri Y

    更新日期:2020-12-30 00:00:00

  • Nonarteritic anterior ischaemic optic neuropathy.

    abstract:PURPOSE OF REVIEW:There have been many reports in recent literature concerning the use of scanning laser polarimetry, Heidelberg retinal tomography and optical coherence topography in assessing the optic nerve and peripapillary nerve fibre layer. It is important to assess the validity of new equipment and see whether t...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3283112bc8

    authors: Ho SF,Dhar-Munshi S

    更新日期:2008-11-01 00:00:00

  • Management of coincidental corneal disease and cataract.

    abstract::The status of the cornea is crucial to a good outcome with cataract extraction. Preexisting corneal disease must be managed appropriately to get the high quality results that we have come to expect with modern day cataract surgery. It is now more common to perform cataract surgery on patients who have had previous cor...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199802000-00008

    authors: Preschel N,Hardten DR

    更新日期:1998-02-01 00:00:00

  • Instrument-based pediatric vision screening.

    abstract:PURPOSE OF REVIEW:The purpose is to review currently available instruments for vision screening in young children. RECENT FINDINGS:Instrumentation continues to evolve. Although the current generation of photoscreeners and autorefractors strive to identify amblyopia risk factors, newer technology aims to directly ident...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000289

    authors: O'Hara MA

    更新日期:2016-09-01 00:00:00

  • Optic nerve disorders.

    abstract::This review highlights recent advances related to diagnosis, clinical course, and management of nonglaucomatous optic neuropathies. Optic nerve disorders of particular interest and importance are emphasized, including ischemic optic neuropathy, optic neuritis, HIV-related infection, neoplastic disease, and pseudotumor...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199712000-00002

    authors: Balcer LJ

    更新日期:1997-12-01 00:00:00

  • The changing face of the genetics of corneal dystrophies.

    abstract::Modern molecular genetics has had a profound effect on our understanding of corneal dystrophies. Mutations in the BIGH3 gene are responsible for four autosomal dominant corneal dystrophies. The mutation spectrum reveals the phenotypically diverse possibilities stemming from mutations of a single gene. Dystrophies have...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200208000-00002

    authors: Siddiqui N,Afshari NA

    更新日期:2002-08-01 00:00:00

  • Lensectomy, vitrectomy indications, and techniques in cataract surgery.

    abstract::Removal of a cataract during a vitrectomy can be performed to improve visualization for the surgeon or to facilitate visual rehabilitation for the patient. Because aphakic eyeglasses or contact lenses are often poor options to correct aphakia, placement of an intraocular lens during or after a vitrectomy is becoming i...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199602000-00014

    authors: Ryan EH Jr,Gilbert HD

    更新日期:1996-02-01 00:00:00

  • Therapeutic rationale for normal-tension glaucoma.

    abstract::Three problems exist when assessing the effectiveness of treatment for normal-tension glaucoma. Firstly, it is a common type of primary open-angle glaucoma. Secondly, the extent to which it is a pressure-sensitive disease remains to be seen. Thirdly, it is possible that normal-tension glaucoma is a collection of diffe...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199504000-00011

    authors: Hitchings RA

    更新日期:1995-04-01 00:00:00

  • Diabetes and thyroid-related eye disease.

    abstract::Diabetes and thyroid-related eye disease cause significant morbidity. Although these are endocrine disorders, they cause different ocular manifestations. Previously unexamined epidemiologic factors offer new insight to diabetic eye disease. The association of hyperglycemia, systemic medical therapy, and visual loss is...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199412000-00011

    authors: Feman SS

    更新日期:1994-12-01 00:00:00

  • Refractive lens exchange for myopia: a new perspective?

    abstract:PURPOSE OF REVIEW:Although lens surgery for high myopia has a long History, it has been extremely controversial. Colin's study of 1999 indicated a much higher than expected rate of retinal detachment. The purpose of this review is to reassess the place of refractive lens exchange in high myopia in the light of more rec...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200502000-00009

    authors: Packard R

    更新日期:2005-02-01 00:00:00

  • Neuro-ophthalmic manifestations of the phakomatoses.

    abstract:PURPOSE OF REVIEW:The phakomatoses are a group of inherited disorders with variable clinical manifestations that are characterized by brain, cutaneous, ocular and other distinct lesions in multiple organs. Correctly recognizing the neuro-ophthalmic signs and symptoms can lead to early diagnosis and treatment. The group...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000609

    authors: Douglas KAA,Douglas VP,Cestari DM

    更新日期:2019-11-01 00:00:00

  • New treatments for serpiginous choroiditis.

    abstract::Serpiginous choroiditis is a bilateral, inflammatory condition of the inner choroid and overlying retinal pigment epithelium with a distinctive retinal distribution. Although rare, serpiginous choroiditis deserves attention because it can lead to permanent loss of vision due to foveal involvement by inflammation or ch...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200306000-00003

    authors: Akpek EK,Ilhan-Sarac O

    更新日期:2003-06-01 00:00:00

  • Comparison of designs of laser systems utilized for refractive surgery.

    abstract::Several different laser types are available on the market for the practitioner to use in refractive surgery. Each laser type has certain parameters that the surgeon must understand to obtain the best refractive outcomes. Studies published in peer-reviewed literature between February 2002 and March 2003 show that refra...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200308000-00008

    authors: Hardten DR,Hauswirth SG

    更新日期:2003-08-01 00:00:00