VOLUME 5, NUMBER 35 |
October 31, 2016 |
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A failure to diagnose is one of the most common reasons that patients file malpractice cases against optometrists. And, without question, glaucoma is the most frequently missed diagnosis I’ve observed as an expert witness. |
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Patients diagnosed with pseudoexfoliative glaucoma (PXG) usually present with advanced vision loss on initial examination and are age 60 or older. Prior to glaucomatous development, the precipitating condition is termed pseudoexfoliation syndrome (PXS). Once PXS is present, the condition can cause a dramatic increase in intraocular pressure (IOP) and lead to glaucoma. Compared to open–angle glaucoma, PXG yields faster rates of visual field loss, is less responsive to topical medications and typically requires surgical intervention.1 Thus, it is imperative to regularly monitor PXS patients for disease progression.
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"Even the smallest victory is never to be taken for granted.
Each victory must be applauded…" |
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