Master in Glaucoma

Teachers

• Dra. Elena Arrondo
• Dr. Natalino Giuliano
• Dra. Maribel Acuña

Evaluation

The evaluation of the student will be done on a continuous basis, by means of a rotation established with each of the specialists in the department. Attendance and participation in the drafting, review and/or monitoring of clinical guidelines are compulsory.

Registration

The registration fee is € 10,525. It must be paid by bank transfer.

Program

General principles:

• Patient examination in consultation rooms.
• Performance of supplementary tests.
• Assistance in surgeries.
• Emergency care
• Participation in research work.
• Presence and participation in teaching activities.
• Participation in all training sessions offered by Grupo Miranza for its specialists.
• Participation in the preparation and monitoring of clinical guidelines.

Anatomy and Pathophysiology of Glaucoma:

• Anatomy of the irido-corneal angle and aqueous humour drainage pathways.
• Anatomy of the ciliary body.
• Anatomy of the optic nerve.
• Aqueous physiology.
• Pathogenetic mechanisms of congenital glaucoma.
• Pathogenetic mechanisms of primary open angle glaucoma.
• Pathogenetic mechanisms of primary angle-closure glaucoma.
• Pathogenetic mechanisms of secondary glaucoma.

Primary glaucoma:

• Epidemiology and risk factors.
• Clinical features of congenital glaucoma.
• Clinical features of primary open-angle glaucoma.
• Clinical features of primary angle-closure glaucoma.
• Clinical features of normotensional glaucoma.

Introduction to the methodology of

Research

• Introduction to the methodology of research
• Drafting of research protocols
• Institutions and documentation for the Presentation of projects research to ethics committees and regulators
• Analysis of results and dissemination

Secondary glaucoma:

• Aetiopathology and classification.
• Clinical pictures of secondary open-angle glaucomas (acute and chronic).
• Clinical pictures of secondary angle-closure glaucomas (acute and chronic).

Diagnostic techniques:

• Biomicroscopy of the anterior segment.
• Biomicroscopy of the posterior segment.
• Biomicroscopy of the optic papilla.
• Direct, indirect and dynamic gonioscopy.
• Direct and indirect ophthalmoscopy of the optic papilla.
• Campimetry: white/white perimetry, blue/yellow perimetry, full threshold perimetry and perimetry with fast techniques.
• Analysis of retinal nerve fibres and papilla: HRT, GDx, OCT.
• Pachymetry and ultrasonic biomicroscopy.
• Ocular Response Analyser (ORA).

Medical Treatment:

• Ocular hypotensive drugs: aqueous production inhibitors and aqueous deflux enhancers.
• Mechanisms of action and adverse effects of different drugs.
• Monotherapies and fixed combinations.

Laser treatments:

• Laser types: argon laser, diode laser, Nd: YAG laser
• Treatments: Peripheral iridotomy with Nd: YAG laser, peripheral iridoplasty and trabeculoplasty with argon or diode laser.
• Suturolysis with argon laser and goniopuncture with Nd: YAG laser.
• Cyclophotocoagulation and endocyclophotocoagulation with diode laser.

Surgical Treatment:

• Perforating filtering surgery: Trabeculectomy.
• Non-perforating filtering surgery: deep sclerectomy.
• Drainage implants: Ahmed valve, and Molteno drainage device.

Antimetabolites: 5FU and mitomycin C.