2000 - דוקטורס אונלי Doctors Only

2000 - דוקטורס אונלי Doctors Only

2000 : 30 . 40 - . . . UBM - . : 2 Malignant glaucoma

Acute angle closure glaucoma. Plateau iris syndrome. ICE syndrome. : : 3

Large optic cup. Vertical elongation of the cup. Cupping to the rim margin. Splinter hemorrhage. : :

Paracentral scotoma. Double arcuate 4 scotoma. Generalized reduction in sensitivity. Inferior nasal step. :

5 () : . . .

. : : 6 carotid-cavernous fistula

. . . : ( )HUMPHREYPSD CPSD : 7

. . : .POAG , . . . : 8

. . . . : 9 PXFG : POAG

PXFG .ALT PXFG -. ALT .PXFG PXFG . ALT=argon laser trabeculoplasty PXFG=pseudoexfoliation glaucoma 2001 : UBM

: 11 Malignant glaucoma Pigmentary glaucoma. Plateau iris. Intumescent lens. : red-free ,

: 12 . . . .

: . ( )pattern-deviation . ?: 13

8 5 2 . : PSD CPSD:

14 MD . SF. MD. .

: . . ,6/12 4 , , . : 15 .

. . . : 19 . .

, : 16 .Forced duction test .

.Schiotz-tonometer . : malignant glaucoma : 17 .

. . . : : 18 .blood-aqueous barrier .

. . 2002 : 60 35 . :

20 ? ? ? ? :

37 . 0 . ? 21 :

: 22

. : ? . , . , . .

23 : . . : 24

. . . . : 25

. , . 3 : . .

. . : 70 40 . . , 26 Laser iridotomy.

PRP. Laser trabeculoplasty. Goniosynechialysis. : : 50 25 .

. , ? : 27 . . . . 2003

: 29 :

: 65 . . 55" . ? 30

20% 4% 10 . : .35 32 . . :

31 . -. .ICE : :

32 Trabeculectomy with MMC Trabeculotomy Goniotomy Valve surgery : 2

. , : 33 Overfiltration Leak from the bleb Suprachoroidal hemorrhage Choroidal effusion :

: 34 SF MD PSD

CPSD PSD : 82 , ,27 . . ?: 35

: 70 40 . . , : 36

Laser iridotomy. PRP. Laser trabeculoplasty. Goniosynechialysis. 2004 38

? - - (.)manual - false-positive . - :Humphrey SITA 24-2 ( )stimulus 28dBdB .25dBdB -+ .

39 glaucoma tube-shunt - - Valve malfunction. - Tube degradation. - Tube migration. - Tube-cornea touch .

40 21 - ? 5dB0% - 30 - 20% - 10 - - 5dB0% - 60%

41 ?ghost cell glaucoma - . - ,hyphema .vitreous hemorrhage - . - 6-9

. 42 ? - (). -

. - ,. - . 43 ?

- . - , 90% - . - . - ) ) - .collector channels 44

- - - - ? . . . .

FDT - PARVOCELLULAR - MAGNOCELLULAR - BISTRATIFIED - KONIOCELLULAR 45

46 ? - . - . - . - .

47 ? - . - . 0.5dB

- NFL . - NFL . 2005 49 : -

- - - 5dB0 UVEOSCLERAL ?-OUTFLOW - - -

- 5dB1 : - - - -

5dB2 - Ocular hypertension Ocular - ? Hypertension Treatment Study - - -

- 5dB3 .5dB5dB 27" . 5dB10. ? - - -

- 3 5dB8dB8dB - 30" 5dB5dB4 20 30% - 5dB4

.75dB . .6/9 - ,6/40 40" . , . . . . ( 35dB") .

. ? - - - - )Uveitis-hyphema-glaucoma syndrome( UGH Ghost cell glaucoma Angle-recession glaucoma

Glaucomatocyclitic crisis 5dB5dB ,60 28dB", 0.6 . 0.5dB% . 17" . 25dB -" . " .

? - - - " - 5dB6

?threshold 5 - - - - ' 1 2- db-6 ' 3 4- db-3 5dB 24-2

' 1 2- db-4 ' 3 4- db-2 5dB7 ,STATIC TESTING ? - - - -

5dB8dB Plateau iris configuration . primary angle closure : - - - -

Laser iridotomy 2006 60

? - - - - - "

? uveoscleral) Bimatoprost( - 5dB0% trabecular 25dB% outflow uveoscleral ) Latanoprost( - 30% trabecular 5dB0% outflow uveoscleral ) Bimatoprost( - 30% trabecular 5dB0% outflow uveoscleral ) Latanoprost( - trabecular 25dB% outflow outflow

61 62 .1 - - -

- 5dB00 5dB5dB5dB 5dB20 5dB70 : 63

? - - - - 90% 90%

10% 10% 64 , 24" , 0.3 5dB5dB0 . "

5dB? - - - - ' MD 0.5dB7 ' MD 0.22 ' PSD 2.44 ' PSD 1.03 ' SF 1.02 ' SF

.0.5dB6 ' CPSD 1.42 ' CPSD 1.8dB2 65dB OHTS ? - -

- - 66

5dB4" ? - - - -

67 ? - - -

- / notching neuro-retinal rim - . splinter hemorrahge 68dB aqueous misdirection ?

- - - -

69 ? aqueous(( Carbonic anhidrase inhibitors Prostaglandines analogues Beta-blockers Alpha2 agonists - -

- - 2008 61 : Juxtracanalicular meshwork

- Uveal Meshwork - Corneoscleral meshwork Schlemms canal - - 62

( ,)Goniolens : Goldmann - Koeppe - - Zeiss -

Sussman 63 . . ? - -

- - ( )10 ,

64 68dB . 14 , 0.9 . 13-15dB 15dB-16 - . . ? - MRI

- OCT - GDx - 3 - 30%- 65dB Phacolytic glaucoma ? Phacoanaphylaxis

- - - Phacodonesis - 66 SITA Statpac- ": -

- - - 67

:SAMPAOLESIS LINE - ()Pseudoexfoliation - -

- SCHWALBES LINE - 68dB OHTS : -

- - - 69

? Timolol - Travatan - - Alphagan - Trusopt

70 PUPILLARY : BLOCK INTUMESCENT CATARACT - IRIS NEOVASCULARIZATION - MICROSPHEROPHAKIA - UVEITIS - 2010

? .1 , . 2 SCHWALBES LINE .4 PXG GLAUCOMA

' - ? . . . EARLY , TRETMENT , B BLOCKER

, ? PXF .1 .2 .3 . , , 1. LI. 2 .3

.4 TM ? JUXTACANALICULAR. 1 ? .1 .2- .3

.4-2 ,IRIS-PLATEU ? .1 CILIARY PROCESSES ?SITA AND SWAP ?UVEOSCLERAL OUTFLOW

.1 GLAUCOMA 50% .2 OUTFLOW FUNDAMENTALS .3 .3 2012

2013

: - - - -

102 :Early Manifest Glaucoma 45dB% - - - " 25dB% - - 1" " 10%

103 27 D/C 0.3 604 . . ?OHTS 36 - 25dB - 6 - 100 - 104

?malignant glaucoma - - ... - .... - 105 ?AH

- 2 - - CAI - 106 , ,

? - 9 - 30-2 - 107 ? - - ALT -

PRK - 108 ? - . - . .... - ..... -

109 ,KP ' ? - (=') - - ..... -

110 : - - - 21 111

? - 2.5dB - 3" - LGB- -

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