Episode 10: Introduction to Glaucoma (part 2)

Description:

In this episode, we speak with Dr. Andrew Pouw to get a broad overview of glaucoma. Dr. Pouw is a glaucoma specialist and clinical assistant professor at the University of Iowa and also the co-host of the popular ophthalmology podcast Eyes for Ears.

Episode Goals:

After listening to this episode, medical students should be able to:

● Acquire a general understanding of imaging tools and interpretation of visual fields and OCT

● Acquire knowledge of some pressure lowering drop mechanisms used in glaucoma management

● Acquire knowledge of laser and surgical management options for glaucoma

Time Stamps:

Limitations of perimetry - 0:50

Staging glaucoma using visual fields - 3:12

3 Questions for every visual field - 5:15

What is it? - 5:35

Is it real? - 8:26

Is this worse? - 12:34

Evidence based reliability indicies by Yohannan et al - 20:41

Which side is the nasal side in a VF print out? - 21:48

Eyes4Ears visual fields episode - 23:52

Cirrus OCT discussion - 26:24

Normal disc area and other parameters - 33:42

Neuroanatomical concordance in OCT and VF - 34:50

Discussion on pressure lowering drops - 35:47

Two categories for drops - 36:16

Glaucoma surgeries - 39:31

Pseudoexfoliative glaucoma and cataract surgery - 41:30

Laser options in clinic - 42:54

Tips for medical students in the glaucoma OR - 46:34

Advice for medical students on their glaucoma rotation - 50:11

Plug for Eyes4Ears and the Buddy Call Series - 51:22

Links: 

Sample 24-2 Visual Field (http://eyerounds.org/tutorials/VF-testing/VF-tutorial-6.gif)

Sample Cirrus OCT printout (https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2Fs40942-020-0208-5/MediaObjects/40942_2020_208_Fig1_HTML.png) 

Yohannan et al on VF reliability indicies (https://pubmed.ncbi.nlm.nih.gov/28676280/)

Yohannan et al on OCT signal strength (https://pubmed.ncbi.nlm.nih.gov/31648802/)

Top cap reference (not 100% absolute rules) - https://www.optometrystudents.com/pearl/guide-cap-colors-commonly-prescribed-drugs/