Glaucoma from an Osteopathic Perspective

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Table of Contents

Introduction …………………………………………………………………………………….. 5
1 The eye ……………………………………………………………………………….. 6
1.1 Anatomy and physiology ………………………………………………………… 6
1.1.1 Eye, oculus ………………………………………………………………………….. 6
1.1.2 Orbit ………………………………………………………………………………….. 7
1.1.3 Blood vessel system ……………………………………………………………… 9
1.1.4 Autonomic nervous system …………………………………………………… 10
1.2 Aqueous humor and chamber angle ………………………………………. 12
2 Glaucoma ………………………………………………………………………….. 17
2.1 General definition ………………………………………………………………… 17
2.2 Classification of glaucoma types ……………………………………………. 17
2.3 Common characteristics of glaucoma types …………………………….. 19
2.4 Increase of intraocular pressure ……………………………………………… 20
2.5 Epidemiology ……………………………………………………………………… 22
2.6 Primary open-angle glaucoma, POAG …………………………………….. 23
2.7 Diagnostics ………………………………………………………………………… 25
2.8 Therapy …………………………………………………………………………….. 27
2.8.1 Drug therapy ………………………………………………………………………. 27
2.8.2 Phytotherapy ……………………………………………………………………… 33
2.8.3 Hematogenous oxidation therapy (HOT) ………………………………….. 34
2.8.4 Laser trabeculoplasty …………………………………………………………… 34
2.8.5 Surgical techniques ……………………………………………………………… 35
2.8.6 Combination therapy ……………………………………………………………. 35
3 Osteopathy ………………………………………………………………………… 36
4 Osteopathic treatment of eye diseases ……………………………………. 40
5 Osteopathic glaucoma treatment …………………………………………… 42
5.1 Improvement of longitudinal fluctuation EV4 / CV4
(according to Dr. Jealous) ……………………………………………………… 43
5.2 Rib raising ………………………………………………………………………….. 46
5.3 Sinus techniques (according to Dr. Frymann D.O.) …………………….. 47
5.4 Intraoral cranial base (SBS) decompression
(according to Dr. Frymann D.O.) …………………………………………….. 50
5.5 Mobilization of the seven eye bones
(according to Paul Masters D.O.) ……………………………………………. 51
5.6 Myofascial treatment of the eyeball
(according to Dr. T.J. Ruddy D.O.) ………………………………………….. 52
5.7 Venolymphatic pumping technique on the eye …………………………. 53
5.8 Aphysiological rotation of the temporal bone
(transverse fluctuation technique) …………………………………………… 54
5.9 Summary of techniques ……………………………………………………….. 60
6 Conclusion …………………………………………………………………………. 61
7 Bibliography ……………………………………………………………………….. 62
Subject index …………………………………………………………………………………. 68
Appendix ………………………………………………………………………………………. 79
Advice for therapists ……………………………………………………………………….. 79
Advice for patients ………………………………………………………………………….. 80