New PDF release: Atlas of Glaucoma

By Choplin N.T., Lundy D.S.

ISBN-10: 1841845183

ISBN-13: 9781841845180

Glaucoma impacts 1% of the inhabitants over the age of forty. it is necessary that the practising clinician and doctor realize either basic and secondary glaucoma and instances linked to different problems. This lavishly illustrated textual content is authoritative and offers the reader with the complete spectrum of the ailment. The booklet is split into 3 major sections: the fundamentals of Glaucoma, scientific Entities, and remedy of Glaucoma.

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Additional info for Atlas of Glaucoma

Example text

The anterior portions of the larger processes have many capillary fenestrations and epithelial mitochondria, indicating specialization for aqueous humor production. 1 Lens Circulation and drainage of aqueous humor. Ocular aqueous humor is secreted by the ciliary processes of the ciliary body into the posterior chamber. Some fluid circulates between the lens and the iris through the pupil into the anterior chamber (large green arrow). It drains from the anterior chamber by passive bulk flow via two pathways.

In contrast, as shown in the middle figure and graph, the Schiotz tonometer, when applied to the eye, indents the cornea to appreciably decrease the anterior chamber volume by ⌬VC1 which pushes fluid posteriorly to expand the sclera by ⌬VS1. ⌬VC1 equals –⌬VS1. The IOP correspondingly rises, with the above changes in intraocular volumes, to Pt1 along the line shown in the graph whose slope equals the scleral rigidity, defined as ⌬logIOP/⌬VS1. This line connects the point representing the applanation IOP, Po, to the number on the appropriate nomogram curve for the Schiotz plunger weight used, which gives the reading of corneal indentation on the Schiotz scale.

Active transport is the work required for the continuous formation of a fluid that is not in thermodynamic equilibrium with the blood plasma. This secretion is accomplished in the ocular anterior segment by the active transport of ions from the non-pigmented ciliary epithelium (NPE) cells into the intercellular clefts. There are indications that the active transport of Naϩ across the NPE is the key process in aqueous humor formation. The active transport of HCO3– and Cl– also plays a role. Enzymatic inhibitors of these transport processes can significantly reduce aqueous flow.

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Atlas of Glaucoma by Choplin N.T., Lundy D.S.

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