ONLINE COURSE

Comprehensive Course on Open Angle Glaucoma 

OBJECTIVES

By the end of the course, participants will be able to:

  • Explain the importance of IOP measurement and factors affecting them and how to use IOP in the diagnosis and management of glaucoma.
  • Apply why, how and when to do gonioscopy
  • Interpret a Humphrey visual field  print out, correlate functional and structural changes and to explain the limitations of this subjective test.
  • Interpret an OCT printout and explain the strengths and limitations in the diagnosis and management of glaucoma.
  • Explain when and how to treat medically and the role of laser in the management of POAG.
  • Decide when to move on to surgery
  • Describe the surgical options and how do we achieve target IOP surgically.
  • Prevent complications.
  • Describe special surgical precautions in high-risk patients with POAG, low-pressure glaucoma, advanced glaucoma, high myopes.
ICO Headquarters
711 Van Ness Ave., Suite #445
San Francisco, California 94102 
USA
Telephone
 +1 415 521 1651
Fax
+1 415 521 1649

 

© 2018 International Council of Ophthalmology

CONTENT

Topic 1: Tonometry and the role of IOP and CCT in the diagnosis and management of glaucoma.

  • Pathophysiology about OAG! The burden of disease!
  • The role of IOP in diagnosis and management of Glaucoma
  • Significance and fallacies of "Target IOP"
  • Overview of various tonometers currently used clinically
  • Evaluate the IOP estimation by various tonometers and compare them with the “Gold standard,” Goldman applanation tonometer.
  • The effect of CCT on IOP estimation.

Topic 2: Role of Gonioscopy in the diagnosis and management of glaucoma.

  • Using Gonioscopy to help study the structural changes in the drainage angle and to differentiate one type of glaucoma from another and guide decisions for appropriate therapy.

  • How to decide if the angle is occludable or open and second, is to see what abnormalities are there in the angle.

Topic 3: Evaluation of Glaucomatous Optic Disc

  • Assessing the optic disc.
  • Normal and pathological findings
  • Differenial diagnosis of glaucomatous disk damage

Topic 4: Basics of perimetry, interpretation and understanding of their limitations.

  • Interpret a Humphrey visual field print out, how to correlate functional and structural changes and to understand the limitations of this subjective test.

Topic 5: Imaging in Glaucoma: 

  • Evaluation of retinal nerve fiber layer, ganglion cell complex and subtle optic disc.

Topic: 6: Why and how do we treat?

  • What are the goals of treatment?
  • What treatment options do we have? How do we treat and what factors do we consider while choosing therapy?
  •  Know your medications, their mechanisms, dose and side effects!
  • How to achieve the Target IOP?
  • How do we monitor the effect of treatment?
  • Special considerations like glaucoma in pregnancy and children (JOAG).
  • Role of laser trabeculoplasty in the management of POAG?

Topic 7: Surgical management of POAG 

  • When to move on to surgery!

  • What are the surgical options and how do we achieve target IOP surgically!

  • Preventing complications, intraoperative modifications and post-operative

  • Follow up and interventions for a successful and safe surgical outcome.

  • Special surgical precautions in high-risk low-pressure glaucoma, advanced glaucoma, high myopes.

LEARNING ACTIVITIES

The course will be conducted online and will include:

  •  Recorded audiovisual lectures.
  • Selected readings
  • Review mind maps
  • Question and answer forums

COURSE DIRECTOR

LECTURERS

Register and start at any time

Dr. Sirisha Senthil completed her medical education from Rajah Muthiah Medical College, Annamalai University, followed by postgraduate training in Ophthalmology from Aravind Eye Hospital, Madurai, Tamil Nadu, securing the first rank in Ophthalmology and Otorhinolaryngology from the university (1993-1994). She did her FRCS in Ophthalmology from Edinburgh in 2000, followed by a fellowship in glaucoma at LVPEI. Currently, she is the Head of VST center for Glaucoma care at LVPEI, Hyderabad.

Dr. Ronnie George completed his medical graduate degree from St. John’s Medical
College, Bengaluru and trained in ophthalmology at the Christian Medical College,
Vellore. He is the Deputy Director in the glaucoma services at Medical Research Foundation and Research Director of the organization. He currently serves on the Education Committee of the World Glaucoma Association, the Editorial Board of the Journal of Glaucoma and is the Section editor (Glaucoma) for the Indian Journal of Ophthalmology.

Dr. Nikhil Choudhari completed his DNB (Ophthalmology) from Sankara Nethralaya, Chennai, followed by a long-term fellowship in glaucoma from LVPEI, Hyderabad. He was a Glaucoma and Neuro-ophthalmology consultant at Sankara Nethralaya, Chennai from 2006 to 2010. He was a co-investigator of a couple of population-based glaucoma studies. He is a co-author of Sankara Nethralaya’s Atlas of Neuro-ophthalmology. Currently, he is a consultant at LVPEI and takes care of patients with disorders of the optic nerve, including glaucoma.

Dr. G Chandra Sekhar has been associated with LVPEI since its inception in 1987 and is currently the Vice-Chair, LVPEI and the Director of Kallam Anji Reddy Campus, Hyderabad. He holds the position of Clinical Professor at the University of Rochester and has been a visiting professor at the University of California, San Diego, USA. Dr. GC has served as the President of the Glaucoma Society of India (2005-06). He has served on the Clinical Guidelines Committee of International Council of Ophthalmology (ICO) and the Membership Committee of Glaucoma Research Society. He is currently on the board of the World Glaucoma Association.

Dr. Harsha Rao completed his residency from Bangalore Medical College, Bengaluru, India in 2005 followed by fellowships in Glaucoma from L V Prasad Eye Institute, Hyderabad, India and University of California, San Diego. He is currently a Glaucoma Consultant at Narayana Nethralaya, Bengaluru, India. His research interests include diagnostics and decision making in glaucoma.

Dr. Sushmita Kaushik Graduated from University College of Medical Sciences, New Delhi, India and completed her post graduation from Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi. She was the Secretary of Glaucoma Society of India (2012 -2014). Currently she is a Professor of Ophthalmology at Postgraduate Institute of Medical Education & Research, Chandigarh, India.

Professor Sir Peng-Tee-Khaw is a Fellow in paediatric glaucoma (1989-1994), concurrent with PhD in ocular wound healing and advanced therapies to prevent scarring. He is a Consultant Ophthalmic Surgeon at Moorfields Eye Hospital since 1993. He is also a Professor of Glaucoma and Ocular healing at University College London since 1997. Sir Peng Khaw’s interest areas are Glaucoma surgery techniques, new anti-scarring agents, stem cell therapy, tissue regeneration.

Primary Open Angle Glaucoma is a progressive, chronic optic neuropathy associated with loss of retinal ganglion cells with a specific pattern of disc damage and characteristic visual field loss. Elevated Intraocular pressure is an important risk factor and is the only known modifiable risk factor.

Glaucoma is the second leading cause of irreversible vision loss worldwide.

The problem with glaucoma is two-fold. Most forms of glaucoma are bilateral, but asymptomatic in their early stages, hence decreased awareness and patients reach the doctors only when the disease is advanced. The second problem is that the diagnosis is not simple using one or two parameters. Diagnosis of glaucoma is based on intraocular pressure measurement, gonioscopy, disc assessment and visual field testing. However, unbiased collection of each clinical findings and interpretation of all the test results in correspondence to each other while keeping in view the limitations and pitfalls plays a crucial role in appropriate diagnosis and management.

Further, many classes of pharmacological agents are used in the management of this disorder both as a single agent as well as combined therapy. The most potent agent is not always the best agent. Therefore, a good understanding of nuances in using these agents is essential in preventing vision loss in this disease. While the majority of glaucomas are treated medically, when medications do not help surgical treatment helps to control the intraocular pressure. Hence understanding of when to move on to surgery is important.


This course will run on the DocMode learning platform