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Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Photoreceptors and Visual Pathways

At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category, whereas...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Anatomy of the Eyeball01:20

Anatomy of the Eyeball

The eye is a spherical, hollow structure composed of three tissue layers. The outer layer — the fibrous tunic, comprises the sclera — a white structure — and the cornea, which is transparent. The sclera encompasses some of the ocular surface, most of which is not visible. However, the 'white of the eye' is distinctively visible in humans compared to other species. The cornea, a clear covering at the front of the eye, enables light penetration. The eye's middle layer, the vascular tunic,...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

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Related Experiment Video

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Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation
08:30

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Published on: March 12, 2016

Glaucomatous damage of the macula.

Donald C Hood1, Ali S Raza, Carlos Gustavo V de Moraes

  • 1Department of Psychology, Columbia University, New York, NY 10027-7004, USA. dch3@columbia.edu

Progress in Retinal and Eye Research
|September 22, 2012
PubMed
Summary

Early glaucoma damage often affects the macula, particularly the inner retinal layers. Standard visual field tests may miss this damage, highlighting the need for advanced imaging like frequency domain optical coherence tomography (fdOCT) for accurate diagnosis.

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Area of Science:

  • Ophthalmology
  • Neuroscience
  • Medical Imaging

Background:

  • Glaucomatous damage is increasingly recognized to involve the macula in early stages.
  • Frequency domain optical coherence tomography (fdOCT) enables precise measurement of retinal layers.

Purpose of the Study:

  • To investigate the anatomical basis of early glaucomatous macular damage using fdOCT.
  • To correlate macular damage with visual field sensitivity and identify vulnerable areas.

Main Methods:

  • Utilized fdOCT to measure local retinal nerve fiber layer (RNFL) and retinal ganglion cell plus inner plexiform (RGC+) layer thickness in healthy controls and glaucoma patients.
  • Analyzed the relationship between local RGC+ loss, visual field sensitivity, and macular vulnerability zone (MVZ).

Main Results:

  • Average RGC+ layer thickness in healthy controls aligns with histological data.
  • Glaucoma patients exhibit greater RGC+ thinning in the inferior macula (superior visual field).
  • Standard 24-2 visual field tests may miss areas of significant RGC+ thinning.

Conclusions:

  • Macular involvement in glaucoma is common, occurs early, and can be underestimated by standard visual field testing.
  • Clinicians should consider macular evaluation in glaucoma diagnosis and management.
  • The macular vulnerability zone (MVZ) is a key area for glaucomatous damage, particularly in the inferior macula.