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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:
-
List the three targets
at which glaucoma therapy is aimed and explain the importance
of each.
-
Discuss the criteria
for assessing the efficacy, safety and tolerability of glaucoma
medications including how the major drug classes are considered
in those terms.
-
Explain neuroprotection
as a therapeutic strategy for the treatment of glaucoma including
the pharmacological and non-pharmacological methods available.
-
Review the strengths
and weaknesses of new g laucoma
medications according to the three parameters used in selecting
a specific drug.
-
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.
-
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.
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