Comprehensive Course on Open Angle Glaucoma
The Course is designed to help residents and practicing ophthalmologists in gaining reasonable understanding of diagnosis of primary open angle glaucoma and its management. At the end of this course participants will be able to get an insight into systematic approach to diagnose glaucoma.
Enroll in ICO001
Offered by ICO
8 weeks, 1 hour per week
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About this Course
Objective of the course: To be able to Diagnose and Treat Primary Open Angle Glaucoma
Primary Open Angle Glaucoma is a progressive, chronic optic neuropathy associated with loss of retinal ganglion cells with specific pattern of disc damage and characteristic visual field loss. Elevated Intraocular pressure is an important risk factor and is the only known modifiable risk factor.
Glaucoma is the second leading cause of irreversible vision loss world wide.
It has been estimated that by 2020 there will be approximately 80 million people with glaucoma, an increase of about 20 million since 2010. Furthermore, it is thought that at present over 8 million people are bilaterally blind due to glaucoma, a figure that is set to rise to over 11 million by 2020 with the increasing prevalence, unless improved screening and effective treatment strategies are successful.
The problem with glaucoma is two fold. Most forms of glaucoma are bilateral, but asymptomatic in their early stages, hence decreased awareness and patients reach the doctors only when the disease is advanced. About 50% of all glaucoma cases are undiagnosed in developed countries, this figure being as high as 90% in the developing parts of the world. The second problem is that the diagnosis is not simple using one or two parameters. Diagnosis of glaucoma is based on intraocular pressure measurement, gonioscopy, disc assessment and visual field testing. However, unbiased collection of each clinical findings and interpretation of all the test results in correspondence to each other while keeping in view the limitations and pitfalls plays a crucial role in appropriate diagnosis and management.
Further, many classes of pharmacological agents are used in the management of this disorder both as single agent as well as combined therapy. Most potent agent is not always the best agent. Therefore, a good understanding of nuances in using these agents is essential in preventing vision loss in this disease. While majority of glaucomas are treated medically, when medications do not help surgical treatment helps to control the intraocular pressure. Hence understanding of when to move on to surgery is important.
Meet the Instructor
Dr. Ronnie GeorgeSankara Nethralaya, Chennai.
Dr. Ronnie George completed his medical graduate degree from St. John's Medical College, Bangaluru and trained in ophthalmology at the Christian Medical College, Vellore. He is the Deputy Director in the glaucoma services at Medical Research Foundation and Research Director of the organization. He currently serves on the Education Committee of the World Glaucoma Association , the Editorial board of the Journal of Glaucoma and is the Section editor (Glaucoma) for the Indian Journal of Ophthalmology.
Dr. Nikhil ChoudhariLVPEI, Hyderabad.
Dr. Nikhil Choudhari completed his DNB (Ophthalmology) from Sankara Nethralaya, Chennai, followed by a long-term fellowship in glaucoma from LVPEI, Hyderabad. He was a Glaucoma and Neuro-ophthalmology consultant at Sankara Nethralaya, Chennai from 2006 to 2010. He was a co-investigator of a couple of population-based glaucoma studies. He is a co-author of Sankara Nethralaya’s Atlas of Neuro-ophthalmology. Currently he is a consultant at LVPEI and takes care of patients with disorders of the optic nerve, including glaucoma.
Dr. Sirisha SenthilLVPEI, Hyderabad.
Dr. Sirisha Senthil completed her medical education from Rajah Muthiah Medical College, Annamalai University, followed by postgraduate training in Ophthalmology from Aravind Eye Hospital, Madurai, Tamil Nadu, securing a first rank in Ophthalmology and Otorhinolaryngology from the university (1993-1994). She did her FRCS in Ophthalmology from Edinburgh in 2000, followed by a fellowship in glaucoma at LVPEI. Currently she is the Head of VST center for Glaucoma care at LVPEI, Hyderabad.
Dr. G Chandra SekharLVPEI, Hyderabad.
Dr. G Chandra Sekhar has been associated with LVPEI since its inception in 1987 and is currently the Vice-Chair, LVPEI and the Director of Kallam Anji Reddy Campus, Hyderabad. He holds the position of clinical Professor at the University of Rochester and has been a visiting professor at University of California, San Diego, USA. Dr. GC has served as the President of the Glaucoma Society of India (2005-06). He has served on the Clinical Guidelines Committee of International Council of Ophthalmology (ICO) and the Membership Committee of Glaucoma Research Society. He is currently on the board of the World Glaucoma Association.
Dr. Harsha L RaoNarayana Nethralaya, Bengaluru.
Dr. Harsha Rao completed his residency from Bangalore Medical College, Bengaluru, India in 2005 followed by fellowships in Glaucoma from L V Prasad Eye Institute, Hyderabad, India and University of California, San Diego. He is currently a Glaucoma Consultant at Narayana Nethralaya, Bengaluru, India. His research interests include diagnostics and decision making in glaucoma.
Dr. Sushmita KaushikPGI, Chandigarh.
Dr. Sushmita Kaushik Graduated from University College of Medical Sciences, New Delhi, India and completed her post graduation from Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi. She was the Secretary of Glaucoma Society of India (2012 -2014). Currently she is a Professor of Ophthalmology at Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Prof. Sir Peng-Tee-KhawMoorfields Eye Hospital, London.
Professor Sir Peng-Tee-Khaw is a Fellow in paediatric glaucoma (1989-1994), concurrent with PhD in ocular wound healing and advanced therapies to prevent scarring. He is a Consultant Ophthalmic Surgeon at Moorfields Eye Hospital since 1993. He is also a Professor of Glaucoma and Ocular healing at University College London since 1997. Sir Peng Khaw’s interest areas are Glaucoma surgery techniques, new anti-scarring agents, stem cell therapy, tissue regeneration.
What you will learn
OBJECTIVESAt the completion of this course the participant will be able to:
- Describe the pathophysiology of IOP.
- Describe Gonioscopy.
- Evaluate the Glaucomatous Optic Disc.
- Describe the Automated perimetry.
- Describe Imaging in Glaucoma.
- Know Why and How do we treat glaucoma.
- Describe the surgical management of POAG.
- The role of IOP
- Epidemiology and pathophysiology of POAG
- Role of IOP in Diagnosis and Management
- Target IOP
- Role of Gonioscopy
- Why and when to do Gonioscopy
- How to do Gonioscopy
- How to Interpret Gonioscopy
- Evaluation of Glaucomatous Optic Disc
- Evaluation Methods
- The Disc
- Para Papillary Atrophy
- Retinal Fiber Defects
- Automated perimetry in Glaucoma
- Testing Algorithm
- Statpac Analysis
- Clinical Correlation
- Imaging in Glaucoma
- Challenges in diagnosing Glaucoma
- Spectral domain OCT
- Artifacts with OCT
- Detecting progression
- In practice use
- Why and how do we treat?
- Goals of Treatment
- Treatment Option
- Medications,Mechanism,Side effects
- Special considerations
- Target IOP
- Role of Laser
- Surgical management of POAG
- Surgical Options
- Preventing Complications
- Special Precautions in High Risk patients
In accordance with the Standards for Commercial Support, DocMode requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.
The following faculty have indicated that they may have a relationship, which in the context of their presentations, could be perceived as a potential conflict of interest:
|Dr. Ronnie George|
|Allergan||Consulting Membership on advisory committee|
|Pfizer||Membership on advisory committee or review panels|
|Santen||Research grant for multicenter drug study|
|Prof. Sir Peng-Tee-Khaw|
|Novartis||Consulting, Membership on advisory committee or review panels|
|Aerie Pharmaceuticals||Consulting, Membership on advisory committee or review panels|
|Santen||Consulting, Membership on advisory committee or review panels|
|Belkin||Consulting, Membership on advisory committee or review panels|
|Allergan||Teaching and speaking|
|Alcon||Membership on advisory committee or review panels|
The following faculty have indicated they have no relationship which, in the context of their presentations, could be perceived as a potential conflict of interest:
Dr. Sirisha Senthil
Dr. Nikhil Choudhari
Dr. G Chandrashekhar
Dr. Harsha Rao
Dr. Sushmita Kaushik
DocMode and The International Council of Ophthalmology acknowledge that no educational grants were received for the creation of this Internet Enduring activity.
DocMode acknowledges an unrestricted educational grant has been provided for interested learners by SunPharmaceutical Industries Ltd.
*(This grant has been offered to interested learners on the condition that learners meet the criteria on region of practice and speciality)
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"A course that enables practitioners and students of glaucoma to obtain an overall perspective of the basics of the disease process and its management. An important aspect of the course is that the faculty have been drawn from the best in the country, who have ample experience in teaching and practical knowledge in managing the most refractory of glaucomas. This course on open angle glaucoma is invaluable to every student and ophthalmologist interested in providing evidence based care to persons with glaucoma."Dr. S. R. Krishnadas
Senior Consultant Glaucoma Services,
Director Human Resources, Aravind Eye Care System, Madurai.
“The comprehensive course on diagnosis and management of Glaucoma is a very well designed course. All the topics are very well explained by the faculties in a very simple and effective way. The knowledge gained from this course will definitely help students and practising ophthalmologists in managing their glaucoma patients.”Dr. Saroj Gupta
Additional Professor, Department of Ophthalmology,
All India Institute of Medical Sciences(AIIMS).
“Recently started ICO online course module on Glaucoma designed by Docmode. Unique format for an online course with didactic videos by renowned glaucoma faculty. The real time transcript that runs parallel to the videos enables not to miss out on important points and the mock tests at end of each section is a good self evaluation tool. Courses are comfortably paced and centered to drive home basics of the disease by illustrations, animations and easy to remember mind maps. Would soon complete the POAG module. Can't wait on to move onto the next course.”Dr. Rajiv Brahmane
MS (Ophthalmology), FCPS, DOMS, MBBS,
Independently runs the Iris Eye Care Hospital in Ulhasnagar (since the year 2000)