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Continuing Medical Education September, 2001


Guide To Glaucoma Management


Release Date: September 2001

Last Review Date: August 2001

Expiration Date: September 30, 2002

Target Audience: Ophthalmologists

Statement of Need: Glaucoma is one of the leading causes of blindness worldwide and is estimated as affecting 3 million people in the United States alone accounting for over 4.5 million visits to ophthalmologists' each year. These figures will only increase in the coming years. A full understanding of this disease, its diagnosis and treatment options, is necessary to efficiently treat patients with chronic open-angle glaucoma. This handbook discusses the definition of glaucoma and its treatment options, the safety and efficacy of medications available as well as the current and future surgical procedures.

Learning Objectives:

  1. List the three targets at which glaucoma therapy is aimed and explain the importance of each.

  2. Discuss the criteria for assessing the efficacy, safety and tolerability of glaucoma medications including how the major drug classes are considered in those terms.

  3. Explain neuroprotection as a therapeutic strategy for the treatment of glaucoma including the pharmacological and non-pharmacological methods available.

  4. Review the strengths and weaknesses of new g laucoma medications according to the three parameters used in selecting a specific drug.

  5. Describe the factors that should be determined when switching a glaucoma patient from monotherapy to therapy with more than one ocular hypotensive agent to achieve the target IOP including the strengths and weaknesses of specific combinations.

  6. Explain the surgical procedures available for reducing IOP in glaucoma patients including the advantages and disadvantages of each technique.

Estimated Time to Complete the Activity: 4 hours

Faculty/Editorial Board: Richard F. Brubaker, MD; Louis B. Cantor, MD; David L. Epstein, MD; Ronald L. Gross, MD; L. Jay Katz, MD; Robert J. Noecker, MD; Steven T. Simmons, MD; Joel S. Schuman, MD

Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Postgraduate Institute for Medicine and Review of Ophthalmology. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality, and scientific integrity of this CME activity.

Designation Statement: The Postgraduate Institute for Medicine designates this educational activity for a maximum of four (4) hours in category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the activity.

Disclosure Statement:

Dr. Brubaker Dr. Brubaker has disclosed that he is a consultant for Allergan, Inc.

Dr. Cantor has received research support from Alcon, Allergan, Merck, Novartis and Pharmacia. He is on the Speaker's Bureau for Alcon, Allergan and Merck.

Dr. Epstein has noted that any financial interests he has are through Duke University.

Dr. Gross has disclosed that he is a consultant for Alcon, Allergan, Novartis and Pharmacia. He has received research support from Alcon, Allergan, Merck, Novartis and Pharmacia. Dr. Gross is on the Speaker's Bureau for Alcon, Allergan and Pharmacia.

Dr. Katz has received research support from and is on the Speaker's Bureau for Allergan, Merck, Novartis and Pharmacia.

Dr. Noecker has disclosed that he is a consultant for Allergan, Coherent, Ciba, Merck and Pharmacia. He has received research support from Allergan, Coherent, Merck, and Pharmacia. Dr. Noecker is on the Speaker's Bureau for Allergan.

Dr. Simmons has received research support from Alcon, Allergan, Merck, Novartis and Pharmacia. He is on the Speaker's Bureau for Allergan, Alcon, Merck and Novartis

Dr. Schuman has received research support and is on the Speaker's Bureau for Allergan, Merck, Novartis, and Pharmacia.

Postgraduate Institute for Medicine has a conflict of interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials. It is not assumed that these financial interests or affiliations will have an adverse impact on faculty presentations; they are simply noted here to fully inform participants.

Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications on dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

Disclosure of Unlabeled Use: This educational activity contains discussion of published and/or investigational uses of agents that are not indicated by FDA. The Postgraduate Institute for Medicine and Review of Ophthalmology do not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings.



This CME is sponsored by the Postgraduate Institute for Medicine and supported by an unrestricted educational grant from Allergan, Inc.

 

Click here to participate in this CME program.