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Office Examination of the Glaucoma Patient

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Abstract

The initial examination of the patient with presumed glaucoma or glaucoma suspect status should be a problem-focused, enhanced version of the “new” patient set of clinical observations, diagnostic tests, and history taking routinely done by all ophthalmologists. My perspective in this chapter shall be that of a community-based glaucoma subspecialist, working in a group ophthalmology practice. I see patients referred for glaucoma-related diagnostic workup, consultation, and possible treatment. Everything I describe or recommend here should be well within the current or attainable skill sets of most eye care physicians and the facilities of average office environments. This chapter should serve as an informal guide for residents, fellows, and comprehensive ophthalmologists who wish to incorporate evidence-based diagnosis and patient management techniques into their glaucoma practices. I will also consider the occasional need for and use of advanced diagnostic technology that might be available for patients referred to academic medical centers, such as ultrasound biomicroscopy (UBM) and anterior segment ocular coherence tomography (AS-OCT).

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Authors and Affiliations

  1. Division of Ophthalmology, Nova Southeastern University, Fort Lauderdale, FL, USA

    Paul N. Schacknow MD, PhD

  2. Visual Health Center, Palm Springs, FL, USA

    Paul N. Schacknow MD, PhD

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  1. Paul N. Schacknow MD, PhD
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Editors and Affiliations

  1. 2889 10th Avenue, N., Palm Springs, 33461, USA

    Paul N. Schacknow

  2. Casey Eye Institute, Dept. Ophthalmology, Oregon Health & Sciences University, SW. Terwilliger Blvd. 3375, Portland, 97201-4197, USA

    John R. Samples

Appendices

Appendix 1: Medical History Questionnaire (MHQ)

Appendix 2: New Patient Welcome Letter

Appendix 3: Consent for Dilation

Appendix 4: Consent for Medical Photography

Appendix 5: Physician’s Practice Brochure

Appendix 6: Consultation Report Form

Appendix 7: Consultation Report Form: Without Annotations

Appendix 8: Glaucoma Examination Report

Appendix 9: Glaucoma Consult Examination Report to Referring Physician

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Schacknow, P.N. (2010). Office Examination of the Glaucoma Patient. In: Schacknow, P., Samples, J. (eds) The Glaucoma Book. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76700-0_28

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