EGS FELLOWSHIP LOG-BOOK FOR THE
FEBOD GLAUCOMA EXAM
M:
Mandatory knowledge
R:
Recommended knowledge
List of prerequisite knowledge form residence training
All Mandatory
Embryology and anatomy of the eye
M
Embryology and anatomy of the anterior chamber angle
M
Embryology and anatomy of the retina optic disc and nerve fiber layer
M
Anatomy of the cornea
M
Physiology of aqueous humor
M
Anatomy of the zonule, the lens of the hyaloid and vitreous
M
Anatomy of the ciliary body
M
Theoretical knowledge
- Epidemiology
- Pathophysiology
- Diagnostics
- Treatment (medical, surgical , laser procedures)
- Complications of treatment
- Follow-up
- Critical evaluation of literature (Evidence-Based Medicine),
including health economics
Classification of the Glaucoma and list of pathologies
- Ocular hypertension/Primary open angle suspect
- Primary open-angle glaucoma (POAG)
- Primary juvenile glaucoma (JG)
- Primary congenital glaucoma
- Secondary open-angle glaucoma (pigmentary, pseudoexfoliative,
lens induced, corticoid induced, hemorrhage induced, uveitic,
increased episcleral venous pressure)
- Primary angle closure (patient at risk, primary angle closure
suspects, primary angle closure, angle closure glaucoma)
- Iris plateau configuration and syndrome/glaucoma
- Secondary angle closure/glaucoma (neovascular, lens/IOL
induced, uveitic, traumatic)
- Malignant glaucoma
- Developmental glaucomas with associated anomalies
o Axenfeld-Rieger syndrome, Aniridia, Peter’s Anomaly
-
ICE syndromes (Chandler Syndrome, Essential / Progressive
Iris Atrophy, Iris Nevus / Cogan Reese Syndrome)
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
Clinical knowledge/experience
(Theoretical knowledge of all items is mandatory)
IOP measurements
Goldmann applanation tonometry
Dynamic contour tonometry (Pascal)
Air-puff
Ocular Response Analyser
Tono-pen
Rebound tonometry
M
R
R
R
R
R
Pachymetry
M
Gonioscopy
Indirect gonioscopy (Goldmann 3-2-1 mirror lenses)
Direct goniscopy (Koeppe lense etc)
Dynamic gonioscopy (Zeiss, Posner, Sussmann lens)
M
M
M
M
Tests of visual function
Standard automated perimetry (SAP) Humphrey or Octopus
Goldmann perimetry
FDT
M
R
R
Detailed knowledge of analyzing Humphrey and Octopus
visual field results
M
Clinical examination of the optic nerve head and retinal nerve fiber layer (RNFL)
structure *
Evaluation of disc and RNFL photography
M
Evaluation with:
HRT
M
OCT
M
GDX
M
*Note: Clinical /practical knowledge of at least one of the instruments (OCT, HRT, GDx) is
considered necessary for the fellowship training in glaucoma.
Anterior segment imaging
Anterior segment OCT
UBM
R
R
Electrophysiology
R
Extensive and detailed knowledge in Medical treatment of glaucoma
All available classes of medications and their:
o Modality and form of administration
o Mechanism of action
o Indications
o Limitations
o Quality of life
o Side effects
o Cost containment
o Neuroprotection
o New modalities of administration
o New molecules in the pipeline
Surgical experience
Laser procedures experience as first surgeon:
Trabeculoplasty (Argon and SLT)
YAG iridotomy
Peripheral iridoplasty
YAG capsulotomy
Laser suture lysis
M
M
M
M
M
Incisional surgery experience*:
Cataract surgery
Complex cataract surgery
Trabeculectomy
Use of antimetabolites and anti-VEGF
Aqueous shunts (non-valved and valved)
Non-penetrating procedures
MIGS
Combined procedures
Cyclodestructive procedures
R
R
R
R
R
R
Optional
R
R
New devices/ surgical methods
Optional
Management of complications of glaucoma surgery
Needling of failing/encysted filtering blebs
Repair of leaking blebs
Management/reformation of shallow AC
Management of hypotony and choroid detachment
M
M
M
M
Re-operation following failure of glaucoma surgery
R
Childhood glaucoma
Examination under anesthesia for congenital glaucoma
Goniotomy
Trabeculotomy
Trabeculectomy
R
R
R
R
All Mandatory
*this exam will not certify the candidate’s surgical skills or ability. To be eligible, surgical
experience is necessary: indication, technique, postoperative care and management of
complications will be an integral part of the knowledge tested during the exam.
Knowledge on how to organize, run and continuously improve a
successful and sustainable (cost-effective) care service for
glaucoma patients
M
Clinical exposure sufficient to gain experience and be able to run
independently a glaucoma clinic, medical and surgical management
M
Experience and knowledge on critical evaluation of literature
M
Participation in basic and/or clinical research
M
Participation in local, regional, national, international
professional and scientific meetings
M
Active presentations at meetings
R
Publication(s) in peer-reviewed journals
R
Experienced and comfortable with the following text-books:
 EGS Guidelines 4th Edition 2014
All Mandatory
www.eugs.org
 Relevant national evidence-based guidelines
 Shields Textbook of Glaucoma 6th Edition. R. Rand Allingham, Karim F Damji, Sharon F
Freedman. Lippincott Wiliams & Wilkins 2011
 Glaucoma, A color Manual of Diagnosis and Treatment. Jack Kanski, J McAlliester, John
F. Salmon. Butterworth-Heinemann 1996
 The Glaucoma Book; a practical, evidence based approach to patient care. Paul N.
Schacknow, John R Samplers. Springer science and business media LLC 2010
 The Glaucomas. Robert Ritch, M.Bruce Shields, Theodore Krupin. Motsby 1996
 Glaucoma, 2nd ed. Tarek Shaarawy, Marc Sherwood, Roger Hitchings, Jonathan
Crowston. 2014. Saunders Ltd
 Evidence Based Medicine. Straus SE, Glasziou P, Richardson WS, Haynes RB, How to
Practice and Teach it. Churchill Livingstone Elsevier, 2011

Glaucoma. American Academy of Ophthalmology www.aao.org/pdf/Glaucoma
Detailed knowledge and interpretation of the following randomized
controlled clinical trials:
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CNTGS
EMGT
OHTS
EGPS
CIGITS
AGIS
ULGTS
EAGLE
Other relevant studies
All Mandatory