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I am 36 My discs are 0.3 Am I afraid of an IOP of 23?

I am 36 My discs are 0.3 Am I afraid of an IOP of 23?. Case No. 3. Group no.5 Dr Yoseph Glovinsky Dr David Zadok Dr Ariela Len, Dr Elvira Lautman, Dr Miri Ehrenberg, Dr Karen Hendler, Dr Dyana Stein. 36 year old male Routine examination. OU: VA SC 6/6 IOP 23.

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I am 36 My discs are 0.3 Am I afraid of an IOP of 23?

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  1. I am 36 My discs are 0.3 Am I afraid of an IOP of 23?

  2. Case No. 3 Group no.5 Dr Yoseph Glovinsky Dr David Zadok Dr Ariela Len, Dr Elvira Lautman, Dr Miri Ehrenberg, Dr Karen Hendler, Dr Dyana Stein

  3. 36 year old maleRoutine examination OU: VA SC 6/6 IOP 23

  4. 36 year old maleRoutine examination OU:C/D 0.3

  5. 36 year old maleRoutine examination HVF, SWAP: Normal Pachymetry: 480 microns

  6. 36 year old maleRoutine examination No family history of glaucoma

  7. To treat or not to treat ?

  8. To treat or not to treat ?Let’s Vote

  9. Before the year 2000 Gut feeling based medicine EBM

  10. The Scientific Way: Glaucoma Risk Assessmentin OHT Patients EBM

  11. OHTS-EGPS GLAUCOMA PREDICTOR Michael Kass

  12. OHTS-EGPS GLAUCOMA PREDICTOR Michael Kass 6.5%

  13. OHTS-EGPS GLAUCOMA PREDICTOR Michael Kass 17.4%

  14. Cumulative Risk For Glaucoma Development AGE 41 AGE 51 AGE 63 17.4% 48.6% 77.3%

  15. Evidence Based Medicine:Treat at 36See at 63

  16. Thin Cornea The new Glaucoma risk factor

  17. Thin cornea = Less rigid (Thin?) lamina cribrosaWith IOP change between 25 and 17: Archives, November 2006

  18. Why Treat Early? 1. Early damage may occur close to fixation

  19. Why Treat Early? 2. Much damage occurs before it is clinically detectable 3. Once damage occurs, glaucoma control is more difficult

  20. Treat to prevent an acquired pit in the Pitt family

  21. I Would Treat, Wouldn’t You?

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