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Evaluation of the effects of laser trabeculoplasty method as a primary therapy in patients with primary open angle glaucoma
Macedonia (MMSA) - St. Cyril and Methodius, Skopje
Department of Ophtalmology,
Prof. Dr. Vesna Dimovska Jordanova
Prof. Dr. Vesna Dimovska Jordanova
English, Serbian, Croatian, Bulgarian
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Primary open-angle glaucoma (POAG) is described distinctly as a multifactorial optic neuropathy that is chronic, progressive, and irreversible, with a characteristic acquired loss of optic nerve fibers. Such loss develops in the presence of open anterior chamber angles, characteristic visual field abnormalities, and intraocular pressure that is too high for the continued health of the eye. It manifests by cupping of the optic disc in the absence of other known causes of the disease. Many therapeutic modalities have been tried to tackle this problem as it poses a risk for blindness. The use of topical eye drops will be evaluated agains laser trabeculoplasty to see outcome short and long term results.
What is the aim of the project?
The aim is to infer about the effectiveness and evaluate the outcomes of the laser trabeculoplasty in patients with open-angled glaucoma.
What techniques and methods are used?
Laser Trabeculoplasty – The procedure will be done using the machine Pure Point Diode Laser (Alcon) Before the procedure the eyes are numbed with eyedrops. A special contact lens will be placed on the eye to focus and deliver the laser beam to the precise location at Shlem’s canal. The control group will be treated with prostaglandin analog eye drops. For the evaluation of the efectivenes, the following methods will be used: Determining sight sharpness, measuring ocular pressure (tonometry), gonioscopy, perimetry as well as complicatins and unwanted effects
What is the role of the student?
- The student will mainly observe
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- If the project is clinical
- the student will take active part in the clinical examination
What are the tasks expected to be accomplished by the student?
The students is expected to learn about glacoma as a pathology and know the types of glaucoma. Treatment and manegment options also learned. The student is expected to watch and learn the laser trabeculoplasty procedure done by the tutor or another doctor. The student is expected to learn how to perform the tests for determining the efectivenes of the treatments such as: tonometry, perimetry and gonioscopy. The students is expected to interpret the results from the beforementioned methods and make an analysis of those results in conjuction to the research’s aim.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Yes, by the tutor or attending doctors about every part of the project.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- No specific outcome is expected
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Subjects passed: Anatomy and Physiology
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months)
- Moura; C Rolim De; and A Paranhos Jr. “Laser Trabeculoplasty for Open Angle Glaucoma.” The Cochrane Database of Systematic Reviews; 2002; doi:10.1002/14651858.cd003919.;
- Beltran-Agullo; Laura; et al. “The Effect of Selective Laser Trabeculoplasty on Aqueous Humor Dynamics in Patients With Ocular Hypertension and Primary Open-Angle Glaucoma.” Journal of Glaucoma; vol. 22; no. 9; 2013; pp. 746–749.; doi:10.1097/ijg.0b013e31825af0eb..
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