Shields' Textbook of Glaucoma 6/e

Thoroughly updated, and now in full colour, Shields' Textbook of Glaucoma, Sixth Edition is a clinically focused and practical textbook for general ophthalmologists treating patients with glaucoma. This classic text offers a rational approach to the medical and surgical management of glaucoma and presents a total care plan for the patient.

This edition has five new or reconfigured chapters—management of the glaucoma patient/approach to the patient; principles of medical therapy; adrenergic agonists and antagonists; cholinergic stimulators and hyperosmotic agents; and neuroprotection and other investigational drugs. The book examines new technologies for intraocular pressure assessment and current diagnostic technologies such as optical coherence tomography, spectral domain optical coherence tomography, Heidelberg retinal tomograph, and GDx. Noted experts detail advances in surgical treatment of glaucoma including new glaucoma implants and angle surgery. Coverage also includes advances in genetics of glaucomatous diseases.

A companion website includes the fully searchable text and an image bank.

R. Rand Allingham

Contents

INTRODUCTION An Overview of Glaucoma 1 SECTION I The Basic Aspects of Glaucoma Cellular and Molecular Biology of Aqueous Humor Dynamics 5 Intraocular Pressure and Tonometry 36 Gonioscopy and Other Techniques for Assessing the Anterior Segment 59 Optic Nerve, Retina, and Choroid 73 Assessment of Visual Fields 116 Glaucomatous Influence on Visual Function 143 SECTION II The Clinical Forms of Glaucoma Classification of the Glaucomas 155 Molecular Genetics of the Glaucomas 163 Clinical Epidemiology of Glaucoma 170 The Glaucoma Suspect: When to Treat? 191 Chronic Open-Angle Glaucoma and Normal-Tension Glaucoma 197 Pupillary-Block Glaucomas 217 Congenital Glaucomas 235 Developmental Glaucomas with Associated Anomalies 252 Pseudoexfoliation Syndrome 272 Glaucomas Associated with Disorders of the Corneal Endothelium 288 Pigmentary Glaucomas and Other Glaucomas Associated with Disorders of the Iris and Ciliary Body 303 Glaucomas Associated with Disorders of the Lens 318 Glaucomas Associated with Disorders of the Retina, Vitreous, and Choroid 328 Glaucomas Associated with Elevated Episcleral Venous Pressure 347 Glaucomas Associated with Intraocular Tumors 353 Glaucomas Associated with Ocular Inflammation 371 Steroid-Induced Glaucoma 387 Glaucomas Associated with Intraocular Hemorrhage 393 Glaucomas Associated with Ocular Trauma 403 Glaucomas After Ocular Surgery 410 Color section follows the front matter SECTION III Management of Glaucoma Management of the Glaucoma Patient 437 Principles of Pharmacology for Glaucoma 446 Adrenergic Receptor Antagonists 457 Prostaglandins and Hypotensive Lipids 471 Adrenergic Stimulators 484 Carbonic Anhydrase Inhibitors 493 Cholinergic Agents 501 Hyperosmotics 509 Neuroprotection and Other Investigational Antiglaucoma Drugs 512 Anatomic Principles of Glaucoma Surgery 520 Principles of Laser Surgery for Glaucoma 524 Surgery of the Anterior Chamber Angle and Iris 529 Principles of Incisional Surgery 563 Filtering Surgery 568 Drainage Implant Surgery 610 Medical and Surgical Treatments for Childhood Glaucomas 626 Cyclodestructive Surgery 644 Surgical Approaches for Coexisting Glaucoma and Cataract 662 Subject Index 673