David Richards
USF Eye Institute, USA
Title: Importance of initial and serial gonioscopy in the management on narrow-angle glaucoma
Biography
Biography: David Richards
Abstract
Statement of the Problem: There is a common misconception among ophthalmologists and optometrists that a patent laser peripheral iridotomy (LPI) is a permanent cure for narrow angle glaucoma.
Discussion: In fact, the AC angle can progress to complete synechial closure and uncontrolled intraocular pressure despite a patent LPI. The most common risk factors for this process are: Hyperopia, phacomorphic lens changes and plateau iris syndrome. Diagnosis and treatment consist of: serial gonioscopy; OCT of the AC angle; laser iridoplasty, and in some cases, lens extraction even in eyes with little or no lens opacification. Examples of clinical cases will be discussed.
Recent Publications
Chen B H, Drucker M D, Louis K M and Richards DW (2016) Progression of normal-tension glaucoma after
- ventriculoperiotoneal shunt to decrease cerebrospinal fluid pressure. J Glaucoma. 25 (1): e50-e52.
- Lovelace RVE and Richards DW (2013) On the dispersion measure of high-redshift synchrotron sources. Monthly Notices of the Royal Astronomical Society. 433 (3): 2275-2277.
- Potcoava MC, Kay CN, Kim MK and Richards DW (2009) In vitro imaging of ophthalmic tissue by digital interference holography. Journal of Modern Optics. 57 (2): 115-123.
- Ayyala RS, Zurakowski D, Monshizadeh R, Hong C-H, Richards D, Layden WE, Hutchinson BT and Bellows AR (2002) Comparison of double-plate Molteno and Ahmed glaucoma valve in patients with advanced uncontrolled glaucoma. Ophthalmic Surgery Lasers and Imaging Retina. 33 (2): 94-101.