Clinical Cases in Glaucoma: An Evidence-based Approach Shibal Bhartiya, Parul Ichhpujani
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fm1CLINICAL CASES IN GLAUCOMA An Evidence-based Approachfm2
fm3CLINICAL CASES IN GLAUCOMA An Evidence-based Approach
Editors Shibal Bhartiya MS Senior Consultant Department of Ophthalmology Fortis Memorial Research Institute Gurgaon, Haryana, India Parul Ichhpujani MS Associate Professor Glaucoma Services Department of Ophthalmology Government Medical College and Hospital Chandigarh, India
fm4
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Clinical Cases in Glaucoma: An Evidence-based Approach
First Edition: 2017
9789386056962
Printed at
fm5Dedicated
To those, who will read this book
And to Aradhya, who will only ever read the dedication.fm6
fm7Contributors
  • Youssef Abdelmassih MD
  • Beirut Eye and ENT Specialist Hospital
  • Al-Mathaf Square
  • Beirut, Lebanon
  • Oscar Albis-Donado MD
  • OMESVI Diagnostic Group
  • Mexico City, Mexico
  • Instituto Mexicano de Oftalmología Querétaro, México
  • Jorge Vila Arteaga MD FEBO
  • Glaucoma Consultant
  • Innova Ocular, Clinica Vila
  • Valencia, Spain
  • Shibal Bhartiya MS
  • Senior Consultant
  • Department of Ophthalmology
  • Fortis Memorial Research Institute
  • Gurgaon, Haryana, India
  • Madhu Bhoot DNB
  • Consultant
  • Glaucoma and Anterior Segment
  • Dr Shroff Charity Eye Hospital
  • New Delhi, India
  • Giovanna Casale-Vargas MD
  • Cornea, OMESVI, Mexico
  • Glaucoma, Glaucos
  • Zacatecas, Mexico
  • M Chockalingam DO DNB FRCS (Glasgow) PGDHHM
  • Consultant
  • Apollo Hospital, Chennai
  • Senior Consultant
  • Apollo Specialty Hospital
  • Vanagaram, Chennai
  • Visiting Faculty
  • Apollo Institute of Hospital Management and Allied Sciences, Chennai and
  • KMCH Institute of Hospital Administration, Coimbatore
  • Chief Consultant
  • Vignesh Meenu Eye Clinic
  • Chennai, Tamil Nadu, India
  • Nikhil S Choudhary MS
  • Consultant
  • Seetha Lakshmi Glaucoma Center
  • Anand Eye Institute
  • Hyderabad, Telangana, India
  • Paaraj Dave MS
  • Consultant
  • Dr TV Patel Eye Institute and
  • Sheth ML Vaduwala Eye Hospital
  • Vadodara, Gujarat, India
  • Jasleen Dhillon MS
  • Consultant
  • Glaucoma and Cataract Services
  • Centre for Sight
  • New Delhi, India
  • Syril Dorairaj MD
  • Associate Professor
  • Department of Ophthalmology
  • Mayo Clinic
  • Jacksonville, Florida, USA
  • Suneeta Dubey MS
  • Consultant
  • Glaucoma Services
  • Dr Shroff Charity Eye Hospital
  • New Delhi, India
  • Sylvain el-Khoury MD
  • Beirut Eye and ENT Specialist Hospital
  • Al-Mathaf Square
  • Beirut, Lebanon
  • Monica Gandhi MS
  • Consultant
  • Glaucoma Services
  • Dr Shroff Charity Eye Hospital
  • New Delhi, India
  • Ivan Goldberg MD FRANZCO
  • Clinical Associate Professor
  • Ophthalmologist and
  • Head of Glaucoma Unit
  • Sydney Eye Hospital
  • Sydney, Australia
  • Alejandra Hernandez-Oteyza MD
  • OMESVI Diagnostic Group
  • Mexico City, Mexico
  • Instituto Mexicano de Oftalmología
  • Querétaro, México
  • Gábor Holló MD PhD DSc
  • Director
  • Glaucoma Services and Perimetry Unit
  • Department of Ophthalmology
  • Semmelweis University
  • Budapest, Hungary
  • Parul Ichhpujani MS
  • Associate Professor
  • Glaucoma Services
  • Department of Ophthalmology
  • Government Medical College and Hospital
  • Chandigarh, India
  • Fabio Kanadani PhD
  • Head of the IOCM's
  • Ophthalmology Department
  • Full Professor of the Medical Science College of Minas Gerais
  • Minas Gerais, Brazil
  • Pankaj Kataria MS
  • Senior Resident
  • Glaucoma Services
  • Advanced Eye Centre
  • Postgraduate Institute of Medical Education and Research
  • Chandigarh, India
  • Sushmita Kaushik MS
  • Additional Professor
  • Glaucoma Services
  • Advanced Eye Centre
  • Postgraduate Institute of Medical Education and Research
  • Chandigarh, India
  • Ziad Khoueir MD MSEd (Ophthalmology)
  • Diseases and Surgery of the Eye
  • Beirut Eye and ENT Specialist Hospital
  • Al-Mathaf Square
  • Beirut, Lebanon
  • fm8Mona Khurana MS
  • Consultant
  • Glaucoma Services
  • Sankara Nethralaya
  • Chennai, Tamil Nadu, India
  • Suresh Kumar MS
  • Professor
  • Glaucoma Services
  • Department of Ophthalmology
  • Government Medical College and Hospital
  • Chandigarh, India
  • Gabriel Lazcano-Gómez MD
  • Glaucoma Department
  • Asociación para Evitar la
  • Ceguera en México IAP
  • San Lucas Coyoacan
  • Mexico DF, Mexico
  • André Mermoud MD
  • Professor
  • Glaucoma Center, Montchoisi Clinic
  • Lausanne, Switzerland
  • Gowri J Murthy DO DNB FRCO (Lon) FRCS (Edin)
  • Senior Consultant
  • Glaucoma Services
  • Prabha Eye Clinic and Research Centre
  • Vittala International Institute of Ophthalmology
  • Bengaluru, Karnataka, India
  • Praveen R Murthy MS DNB FMRF
  • Senior Consultant
  • Vitreoretinal and Cataract Services
  • Prabha Eye Clinic and Research Centre
  • Vittala International Institute of Ophthalmology
  • Bengaluru, Karnataka, India
  • Aditya Neog DO DNB FMRF
  • Glaucoma Consultant
  • Centre for Sight
  • Superspeciality Eye Hospital
  • Hyderabad, Telangana, India
  • Julie Pegu MS
  • Consultant
  • Dr Shroff Charity Eye Hospital
  • New Delhi, India
  • Tiago Prata MD PhD
  • Associate Professor
  • Glaucoma Services
  • Department of Ophthalmology
  • Federal University of São Paulo
  • São Paulo, Brazil
  • Nadia Ríos-Acosta MD
  • Resident in Ophthalmology
  • Mexican Institute of Ophthalmology
  • Querétaro, Mexico
  • Sylvain Roy MD PhD
  • Swiss Federal Institute of Technology
  • Glaucoma Center
  • Montchoisi Clinic
  • Lausanne, Switzerland
  • Tarek Shaarawy MD PD
  • Head
  • Glaucoma Unit
  • Geneva University Hospital
  • Geneva, Switzerland
  • Dushyant Sharma MS
  • Glaucoma Fellow
  • Dr Shroff Charity Eye Hospital
  • New Delhi, India
  • Nishtha Singh MS
  • Glaucoma Fellow
  • Dr Shroff Charity Eye Hospital
  • New Delhi, India
  • Simon Skalicky MMed MPhil FRANZCO
  • Discipline of Ophthalmology
  • University of Sydney, Sydney
  • Department of Ophthalmology and Surgery
  • Royal Melbourne Hospital
  • Centre for Eye Research Australia Royal Victorian Eye and Ear Hospital University of Melbourne
  • Melbourne, Australia
  • Oana Stirbu MD FEBO
  • Glaucoma Consultant
  • Instituto Condal de Oftalmologia Barcelona, Spain
  • Sahil Thakur MBBS
  • Junior Resident
  • Department of Ophthalmology
  • Government Medical College and Hospital
  • Chandigarh, India
  • Augusto Vieira MD
  • Glaucoma Staff
  • Eye Institute of Minas Gerais
  • Minas Gerais, Brazil
fm9Preface
There is some stuff that we love to read, and then there is some stuff that we have to read: to remain relevant in our clinical practice, to be responsible citizens, to be who we want to be. The Journal of Current Glaucoma Practice, Journal of Glaucoma, Survey of Ophthalmology, American Journal of Ophthalmology, British Journal of Ophthalmology, Annals of Ophthalmology, National Geographic, New York Times, Guardian, Times of India, Leo Tolstoy, Harry Potter, Orson Scott Card, Calvin and Hobbes, Vogue… The list is not half complete, we have not mentioned even one of the zillion prescribed textbooks, and we already have three hundred hours of reading, to be crammed into a twenty-four hour day, if we read every day. A twenty-four hour day that also needs us to work, sleep, and go about the general business of living.
So what we have done, in this beautiful little book, is to condense all of the current published glaucoma evidence into tiny bite-sized pieces, relevant to your everyday glaucoma practice. Some of the best minds in glaucoma who have been reading and writing glaucoma for very many years, have got together and picked up representative cases from their own clinics, and delineated the preferred practice pattern in the light of the available evidence-base. We have sifted the information on glaucoma that is currently available, chosen the one which actually stands up to scrutiny, removed the statistical jargon and concentrated on the lowest common denominator: evidence-based clinical practice of glaucoma.
Clinical Cases in Glaucoma: An Evidence-based Approach is therefore an easy read, and gives you a real world feel of how the early manifest glaucoma trial (EMGT) or the tube versus trabeculectomy (TVT) or the ocular hypertension treatment study (OHTS) actually translate into the last patient you saw on Thursday. Reading the book will help you make better clinical judgments, if you are a veteran clinician-surgeon. It will help you understand the science of glaucoma better, if you are a researcher, and it will help you take care of your patients better, if you are just stepping into clinical practice.
All of us who have worked on this book together have at various points in our career missed having a book such as this in the front pockets of our lab coats. We are, therefore, delighted to have actually put it together for you, and for ourselves, when the fingerprints of the newly available minimally invasive glaucoma surgery (MIGS) escape us, as we scratch our heads over a 52-year-old patient who keeps forgetting to use his glaucoma medication.
Happy reading, and our best wishes for taking care of your glaucoma patients better. Each day.
Shibal Bhartiya MS
Parul Ichhpujani MSfm10
fm11Acknowledgments
We would like to acknowledge the efforts of all our authors and contributors. Without their continued support and dedication, this book would not have been possible.
We would also like to thank our publishers, Jaypee Brothers Medical Publishers (P) Ltd for their valued support and faith in us. A special word of gratitude for Ms Chetna Malhotra Vohra (Associate Director—Content Strategy) and our extremely competent and capable Development Editor, Ms Nedup Denka Bhutia.
It would have impossible to take on this project without the continued and unwavering support of our family, friends and colleagues. A very special thanks to them too.fm12