Clinical Scorecard: Ultra-Widefield Image of the Month

At a Glance

Key Highlights

• Patient has moderate primary open-angle glaucoma with early-to-moderate visual field loss.
• MonacoPro imaging provides comprehensive assessment of optic nerve head and retinal nerve fiber layer.
• Stable intraocular pressure (<20 mmHg OD, <22 mmHg OS) on topical medications.
• UWF imaging reveals dark, blurred shadow in retinal periphery confirming diagnosis.
• Future cataract surgery planned with minimally invasive glaucoma surgery.

Guideline-Based Recommendations

Diagnosis

• Utilize multimodal imaging for accurate diagnosis of glaucoma.
• Consider risk factors such as gender and myopia in assessment.

Management

• Maintain intraocular pressure within target range using topical medications.
• Monitor with advanced imaging techniques like UWF and SD-OCT.

Monitoring & Follow-up

• Regular visual field testing and OCT scans to assess disease progression.
• Use of ONH topography to monitor optic disc changes.

Risks

• Increased risk of glaucoma progression in patients with pigment dispersion syndrome.
• Potential complications from cataract surgery in glaucomatous patients.

Patient & Prescribing Data

Adults with moderate primary open-angle glaucoma and cataracts.

Topical IOP-lowering medications effectively control intraocular pressure.

Clinical Best Practices

• Incorporate UWF imaging in routine glaucoma assessments.
• Evaluate cataract progression in conjunction with glaucoma management.

References

• Optos MonacoPro