University of Iowa Health Care

Ophthalmology and Visual Sciences

Iowa Glaucoma Curriculum

Welcome to the Iowa Glaucoma Curriculum

This is a teaching site for residents and others interested in learning about glaucoma.

It breaks glaucoma into fifty bite-sized lectures that average 14 minutes in length (range 4 to 37 minutes).
In total the curriculum is just under 12 hours long.

It is highly visual with >900 images and >90 movie clips.

Taking care of glaucoma can be very hard, but I am hoping that I have made learning about this family of diseases somewhat easier.

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Wallace L.M. Alward, MD

Dr. Lee Alward

Frederick C. Blodi Chair in Ophthalmology
Professor and Vice-Chair
Director, Glaucoma Service
Department of Ophthalmology & Visual Sciences
University of Iowa Carver College of Medicine

Supported by the Frederick C. Blodi Chair
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User Instructions:

The fifty chapters provide an introduction to glaucoma. For many chapters there is supplementary material for those who want to delve deeper. For example, Chapter 34 discusses “General Principles of Glaucoma Management.” A table on existing glaucoma medications from The Medical Letter on Drugs and Therapeutics is provided as a supplement. There are a large number of clinical examples from gonioscopy.org ( http://gonioscopy.org ) and EyeRounds ( http://www.eyerounds.org ).

As modifications are made to each chapter there will be a change in the version number and date provided for that chapter. A chronology of changes appears here so that you can be sure that you have seen the most recent version. Minor changes will be denoted by a decimal change (for example 1.0 to 1.1) major changes are denoted by an integer change (for example 1.0 to 2.0).

Chapters are arranged in the following eleven sections. The chapters can be reached by scrolling down to the chapter or by jumping to the appropriate section (below).

By entering the Curriculum you are acknowledging that:

1) All of the images and movies contained in these webpages are copyright by the University of Iowa and may not be reproduced without permission.

2) The author is not advocating a specific treatment for any patient.


The Curriculum Chapters


PREFACE: What is glaucoma and why does it matter


I. BASIC SCIENCES

CHAPTER 1: Aqueous humor dynamics, anterior chamber anatomy and ciliary body

CHAPTER 2: Optic nerve and nerve fiber layer anatomy


II. EXAMINATION

CHAPTER 3: Intraocular pressure and tonometry

Supplementary Material

CHAPTER 4: Gonioscopy and Imaging the angle (UBM, AS-OCT)

Supplementary Material

CHAPTER 5: Perimetry principles types of perimetry: Kinetic, static threshold, SWAP, FDT

CHAPTER 6: Automated Perimetry - Interpreting a Field

CHAPTER 7: Visual Field Changes in Glaucoma

CHAPTER 8: Perimetry Quiz

CHAPTER 9: Optic Nerve Head and Nerve Fiber Layer Changes in Glaucoma

Supplementary Material

III. CLASSIFICATION OF THE GLAUCOMAS

CHAPTER 10: Classification of the glaucomas


IV. DEVELOPMENTAL GLAUCOMAS

CHAPTER 11: Primary Congenital Glaucoma

Supplementary Material

CHAPTER 12: Axenfeld-Rieger Syndrome, Peters Anomaly

Supplementary Material

CHAPTER 13: Aniridia, Phacomatoses, and Other Glaucomas of Infancy and Childhood

Supplementary Material


V. PRIMARY OPEN ANGLE GLAUCOMAS

CHAPTER 14: Primary Open Angle Glaucoma, Juvenile Open Angle Glaucoma (EMGT)

Supplementary Material

CHAPTER 15: Ocular Hypertension and Glaucoma Suspects (OHTS)

CHAPTER 16: Normal Tension Glaucoma (CNTGTS, LOGTS)

Supplementary Material


VI. PRIMARY ANGLE CLOSURE GLAUCOMAS

CHAPTER 17: Primary Pupillary Block Angle Closure Glaucoma, Nanophthalmos, MMG

Supplementary Material

CHAPTER 18: Plateau Iris Syndrome

Supplementary Material

CHAPTER 19: Malignant Glaucoma

Supplementary Material


VII. SECONDARY GLAUCOMAS

CHAPTER 20: Exfoliation Syndrome

Supplementary Material

CHAPTER 21: Pigment Dispersion Syndrome and Pigmentary Glaucoma

Supplementary Material

CHAPTER 22: Corticosteroid-induced Glaucoma

CHAPTER 23: Glaucoma Secondary to Inflammation

Supplementary Material

CHAPTER 24: Glaucomatocyclitic Crisis

Supplementary Material

CHAPTER 25: Fuchs Heterochromic Iridocyclitis

Supplementary Material

CHAPTER 26: Trauma-associated Glaucomas (Angle Recession, hyphema, Ghost Cell, Siderosis, Burns)

Supplementary Material

CHAPTER 27: Lens-associated Glaucomas

Supplementary Material

CHAPTER 28: Post-surgical Glaucoma (Aphakic, Epithelial Downgrowth, Post-PK, Post DSEK)

Supplementary Material

CHAPTER 29: Elevated Episcleral Venous Pressure

Supplementary Material

CHAPTER 30: Glaucoma Secondary to Tumors and Cysts

Supplementary Material

CHAPTER 31: Neovascular Glaucoma

Supplementary Material

CHAPTER 32: The Iridocorneal Endothelial Syndromes

Supplementary Material

CHAPTER 33: Miscellaneous (Iridoschisis, PPMD, CB Swelling, Schwartz)

Supplementary Material


VIII. PRINCIPLES OF GLAUCOMA MANAGEMENT

CHAPTER 34: General Principles of Glaucoma Management

Supplementary Material

CHAPTER 35: Glaucoma Management Studies (CIGTS, AGIS)


IX. MEDICAL MANAGEMENT

CHAPTER 36: Prostaglandin Analogs

CHAPTER 37: Beta Adrenergic Antagonists

CHAPTER 38: Adrenergic Agonists

CHAPTER 39: Carbonic Anhydrase Inhibitors

CHAPTER 40: Trabecular Meshwork Outflow Agents

CHAPTER 41: Hyperosmotic Agents


X. SURGICAL MANAGEMENT

CHAPTER 42: Laser Trabeculoplasty (GLT)

Supplementary Material

CHAPTER 43: Iridotomy and Iridoplasty

CHAPTER 44: Trabeculectomy, Express shunt (5FU study)

Supplementary Material

CHAPTER 45: Glaucoma Drainage Devices

Supplementary Material

CHAPTER 46: Surgery for Glaucomas of Infancy

CHAPTER 47: Cataract Surgery in the Glaucoma Patient

CHAPTER 48: Minimally Invasive and Other Glaucoma Surgeries

Supplementary Material

CHAPTER 49: Cyclodestructive Procedures


XI. HYPOTONY

CHAPTER 50: Hypotony

Supplementary Material