Abstract
Glaucoma is a complex set of diseases that are based on a clinical diagnosis. There is no blood test that can provide a definitive diagnosis of glaucoma, and it is rare that a single diagnostic test can reveal the presence of glaucoma. More often a variety of information is necessary for glaucoma diagnosis. Fortunately, a wide array of data that can be obtained about this disease and medical technology and instrumentation continue to play important roles in the assessment of the glaucomatous disease state and its treatment. The current state of ocular imaging, functional assessment, and surgical treatment has been discussed in previous chapters. This chapter aims to go beyond that, to assess what needs still exist and how technologies could realistically help meet them.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kaufmann C, Bachmann LM, Thiel MA. Intraocular pressure measurements using dynamic contour tonometry after laser in situ keratomileusis. Invest Ophthalmol Vis Sci. 2003;44:3790–3794.
Broman AT, Congdon NG, Bandeen-Roche K, Quigley HA. Influence of corneal structure, corneal responsiveness, and other ocular parameters on tonometric measurement of intraocular pressure. J Glaucoma. 2007;16:581–588.
Alvarez TL, Gollance SA, Thomas GA, et al. The Proview phosphene tonometer fails to measure ocular pressure accurately in clinical practice. Ophthalmology. 2004;111:1077–1085.
Detry-Morel M. Update in tonometry. Phosphene and rebound tonometries, self-tonometry and technologies for the future. Bull Soc Belge Ophtalmol. 2007;303:87–95.
Niessen AG, van den Berg TJ. Evaluation of a reference set based grading system for retinal nerve fiber layer photographs in 1941 eyes. Acta Ophthalmol Scand. 1998;76:278–282.
Niessen AG, van den Berg TJ, Langerhorst CT, Bossuyt PM. Grading of retinal nerve fiber layer with a photographic reference set. Am J Ophthalmol. 1995;120:577–586.
Sommer A, Quigley HA, Robin AL, Miller NR, Katz J, Arkell S. Evaluation of nerve fiber layer assessment. Arch Ophthalmol. 1984;102:1766–1771.
Lee SY, Kim KK, Seo JM, et al. Automated quantification of retinal nerve fiber layer atrophy in fundus photograph. Conf Proc IEEE Eng Med Biol Soc. 2004;2:1241–1243.
Abramoff MD, Alward WL, Greenlee EC, et al. Automated segmentation of the optic disc from stereo color photographs using physiologically plausible features. Invest Ophthalmol Vis Sci. 2007;48:1665–1673.
Xu J, Chutatape O, Sung E, Zheng C, Chew Tec Kuan P. Optic disk feature extraction via modified deformable model technique for glaucoma analysis. Pattern Recognit. 2007;40:2063–2076.
Izatt JA, Hee MR, Swanson EA, et al. Micrometer-scale resolution imaging of the anterior eye in vivo with optical coherence tomography. Arch Ophthalmol. 1994;112:1584–1589.
Ishikawa H. Anterior segment imaging for glaucoma: OCT or UBM? Br J Ophthalmol. 2007;91:1420–1421.
Choma MA, Hsu K, Izatt JA. Swept source optical coherence tomography using an all-fiber 1300-nm ring laser source. J Biomed Opt. 2005;10:44009.
Hermann B, Fernandez EJ, Unterhuber A, et al. Adaptive-optics ultrahigh-resolution optical coherence tomography. Opt Lett. 2004;29:2142–2144.
Vilupuru AS, Rangaswamy NV, Frishman LJ, Smith EL 3rd, Harwerth RS, Roorda A. Adaptive optics scanning laser ophthalmoscopy for in vivo imaging of lamina cribrosa. J Opt Soc Am A Opt Image Sci Vis. 2007;24:1417–1425.
Liang J, Williams DR, Miller DT. Supernormal vision and high-resolution retinal imaging through adaptive optics. J Opt Soc Am A Opt Image Sci Vis. 1997;14:2884–2892.
Roorda A, Williams DR. The arrangement of the three cone classes in the living human eye. Nature. 1999;397:520–522.
Kagemann L, Wollstein G, Wojtkowski M, et al. Spectral oximetry assessed with high-speed ultra-high-resolution optical coherence tomography. J Biomed Opt. 2007;12:041212.
Srinivasan VJ, Wojtkowski M, Fujimoto JG, Duker JS. In vivo measurement of retinal physiology with high-speed ultrahigh-resolution optical coherence tomography. Opt Lett. 2006;31:2308–2310.
Grieve K, Roorda A. Intrinsic signals from human cone photoreceptors. Invest Ophthalmol Vis Sci. 2008;49:713–719.
Bower BA, Zhao M, Zawadzki RJ, Izatt JA. Real-time spectral domain Doppler optical coherence tomography and investigation of human retinal vessel autoregulation. J Biomed Opt. 2007;12:041214.
Maris PJ Jr, Ishida K, Netland PA. Comparison of trabeculectomy with Ex-PRESS miniature glaucoma device implanted under scleral flap. J Glaucoma. 2007;16:14–19.
Spiegel D, Wetzel W, Haffner DS, Hill RA. Initial clinical experience with the trabecular micro-bypass stent in patients with glaucoma. Adv Ther. 2007;24:161–170.
Lewis RA, von Wolff K, Tetz M, et al. Canaloplasty: circumferential viscodilation and tensioning of Schlemm's canal using a flexible microcatheter for the treatment of open-angle glaucoma in adults: interim clinical study analysis. J Cataract Refract Surg. 2007;33:1217–1226.
Francis BA, See RF, Rao NA, Minckler DS, Baerveldt G. Ab interno trabeculectomy: development of a novel device (Trabectome) and surgery for open-angle glaucoma. J Glaucoma. 2006;15:68–73.
Minckler DS, Baerveldt G, Alfaro MR, Francis BA. Clinical results with the Trabectome for treatment of open-angle glaucoma. Ophthalmology. 2005;112:962–967.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Townsend, K.A., Wollstein, G., Schuman, J.S. (2010). Future Glaucoma Instrumentation: Diagnostic and Therapeutic. In: Schacknow, P., Samples, J. (eds) The Glaucoma Book. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76700-0_90
Download citation
DOI: https://doi.org/10.1007/978-0-387-76700-0_90
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-76699-7
Online ISBN: 978-0-387-76700-0
eBook Packages: MedicineMedicine (R0)