Beware of GREEN Disease in Glaucoma! [Clinic PowerUp] скачать в хорошем качестве

Beware of GREEN Disease in Glaucoma! [Clinic PowerUp]

This clip was taken from KMK's Clinic PowerUp Course! Click on this link here to sign up: https://optometryboardsreview.com/odpro/ KMK's NEW Billing & Coding Course is ALSO available through the above link! Follow IG kmkoptometrypro for more clinical cases! Glaucoma can be tricky to manage. When a patient has suspicious looking optic nerves, but their pachymetry thicknesses are average, gonioscopy is open, and the visual field is unreliable, we often have to look at the OCT for our “final” tentative diagnosis. Hence, when the OCT numbers are all “green”, it can be easy to say “Ahh, there’s no glaucoma here! See you next year!” However, what we need to remind ourselves is that “green” can still be glaucoma if the numbers are progressively decreasing! Glaucoma is a disease of slow damage to the optic nerve over months and years. Therefore, the more correct thought to have in our example is: “There is no definitive evidence of glaucoma at this time, but we have to make multiple measurements over a long period of time to rule glaucoma out”. That is why these patients are usually deemed to be “glaucoma suspects” for at least a few years. The short video clip above shows an example of “Green Disease”. As the years passed, the patient’s optic nerve rim continued to get thinner, making that evident notch inferior-temporally. Despite the obvious notch that coincides with a dense visual field defect, the patient’s OCT is still green! Of course, the left eye is “less green” than the right eye, and the numbers used to be much higher a few years ago.