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Clinical Advances in Glaucoma, 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: closed (25 July 2024) | Viewed by 1771

Special Issue Editor


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Guest Editor
Hospital Clinico San Carlos, Madrid, Spain
Interests: glaucoma surgery; new devices in glaucoma treatment; childhood glaucoma; intraocular pressure; retinal nerve fiber layer; retinal ganglion cell; visual field; optical coherence tomography; angiography; retinography; filtering surgery; minimally invasive glaucoma surgery
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Special Issue Information

Dear colleagues,

We are pleased to announce the 2nd Edition of the Special Issue Clinical Advances in Glaucoma (https://www.mdpi.com/journal/jcm/special_issues/GO39UMU3B7).

Glaucoma is a chronic and progressive optic neuropathy disease, resulting in the deterioration of visual function. Intraocular pressure increase is not the only symptom responsible for the development and progression of glaucoma, although it is the only one on which effective therapeutic action can be carried out.

Recently, many advances in the diagnosis and treatment of glaucoma have been described, and structural glaucoma diagnostic advances with optical coherence tomography have improved its diagnostic performance. The recent COVID-19 outbreak has led to advances in the development of telemedicine and even iPad perimetric testing. One of the technological advances that has contributed to the increased interest in the influence of the vascular factor on the development of glaucoma is optical coherence tomography with angiography or optical coherence angiotomography. With this non-invasive tool, circumpapillary, papillar and macular vessel density have been shown to be lower in glaucoma patients.

On the other hand, while Goldmann applanation tonometry is still the gold standard for pressure measurements, new tonometers based on different working principles are gradually being introduced into routine clinical practice.

Currently, further progress is necessary in new diagnostic techniques and telemedicine applied to the disease.

Dr. Carmen Dora Méndez-Hernández
Guest Editor

Manuscript Submission Information

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Keywords

  • intraocular pressure
  • visual field
  • retinography
  • optical coherence tomography
  • optical coherence angiotomography
  • tonometry
  • retinal ganglion cell
  • telemedicine
  • optic neuropathy
  • peripapillary vessel density

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Related Special Issue

Published Papers (2 papers)

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Research

10 pages, 541 KiB  
Article
Near Add Power of Glaucoma Patients with Early Presbyopia
by Masahiko Ayaki and Kazuo Ichikawa
J. Clin. Med. 2024, 13(19), 5675; https://doi.org/10.3390/jcm13195675 - 24 Sep 2024
Viewed by 560
Abstract
Purpose: Glaucoma medication may accelerate the progression of presbyopia. The aim of this study was to compare presbyopia between controls and patients with glaucoma in their 40s. Methods: This was a cross-sectional study of bilateral phakic participants aged between 40 and 49, which [...] Read more.
Purpose: Glaucoma medication may accelerate the progression of presbyopia. The aim of this study was to compare presbyopia between controls and patients with glaucoma in their 40s. Methods: This was a cross-sectional study of bilateral phakic participants aged between 40 and 49, which included controls (n = 114, mean age 46.1 ± 2.7 y) and patients with primary open-angle glaucoma (n = 105, 46.4 ± 2.7 y) who had been using FP receptor agonists, beta blockers, and carbonic anhydrase inhibitors for at least six months. We compared the near add power between the two groups. Results: The mean near add power and the prevalence of symptomatic presbyopia (near add power ≥ 1.50 D) were 1.16 ± 0.74 D and 42.1% for controls and 1.77 ± 0.71 D (p < 0.01) and 79.0% (p < 0.01) for glaucoma patients, respectively. The odds ratio (OR) and confidence interval for symptomatic presbyopia were associated with age (1.36, 1.21–1.52), ganglion cell complex thickness (0.96, 0.94–0.99), presence of glaucoma (6.19, 3.13–12.23), and number of glaucoma medications (4.26, 2.42–7.43). Among medications, only FP receptor agonists (5.79, 2.68–12.32) produced significant results. Survival analysis showed that glaucoma patients reached the threshold of a near add power of +1.50 D significantly sooner than controls (p < 0.05; log-rank test). Conclusions: Glaucoma patients, especially those using FP receptor agonists, had higher near add power than controls. Full article
(This article belongs to the Special Issue Clinical Advances in Glaucoma, 2nd Edition)
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16 pages, 3056 KiB  
Article
Evaluating the Safety and Efficacy of a Novel Glaucoma Drainage Device in High-Risk Adult Glaucoma Patients: A One-Year Pilot Study
by Faisal Ahmed, Eduardo Normando, Syed Ahmed, Simrun Virdee and Ahmed Al-Nahrawy
J. Clin. Med. 2024, 13(17), 4996; https://doi.org/10.3390/jcm13174996 - 23 Aug 2024
Cited by 1 | Viewed by 953
Abstract
Background: We report on the 12-month safety and efficacy outcomes of a new non-valved glaucoma drainage device, the eyePlate-300 (Rheon Medical, Lausanne, Switzerland), in managing refractory glaucoma. Methods: A retrospective review was conducted on consecutive patients over 18 who underwent glaucoma drainage device [...] Read more.
Background: We report on the 12-month safety and efficacy outcomes of a new non-valved glaucoma drainage device, the eyePlate-300 (Rheon Medical, Lausanne, Switzerland), in managing refractory glaucoma. Methods: A retrospective review was conducted on consecutive patients over 18 who underwent glaucoma drainage device (GDD) surgery with the eyePlate-300 after a single glaucoma consultation between February 2020 and April 2021, with at least 12 months of documented post-op follow-up. Results: A total of 16 eyes from 15 patients were included. Complete success was observed in 47% of patients and overall success in 83%. The mean IOP decreased from 31.5 mm Hg to 10.7 mm Hg (67% reduction from baseline), and the number of IOP-lowering drops was reduced from 3.1 to 0.7 at one year. The mean BCVA remained stable. No additional IOP-lowering surgeries were required, and no severe sight-threatening complications were noted. Conclusions: The initial one-year results suggest that the eyePlate could be a safe and effective device for reducing IOP in an ethnically diverse refractory glaucoma population. Further follow-up is necessary to determine the long-term safety and efficacy. Full article
(This article belongs to the Special Issue Clinical Advances in Glaucoma, 2nd Edition)
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