Sharing best practice and landmark evidence in glaucoma care

Evolving technology, best practice and landmark evidence in glaucoma care were reviewed by an international expert faculty in session presentations and debates during the 11th Moorfields International Glaucoma Symposium 2019. The authors were meeting chairs and provide an overview of symposium proceedings. Hans Lemij, Rotterdam Eye Hospital, the Netherlands, discussed glaucoma optical coherence tomography (OCT) imaging and automated segmentation issues, noting several common image artefacts. Paul Foster highlighted research by the UK Biobank Eye and Vision Consortium related to cognitive function and the expanding use of OCT imaging in dementia and neurodegeneration research. Findings show that a thinner retinal nerve fibre layer (RNFL) is associated with worse cognitive function in individuals without known neurodegenerative disease, as well as a greater likelihood of future cognitive decline [1]. The Rotterdam Study also revealed an association of retinal neurodegeneration on OCT with an increased risk of dementia, including Alzheimer's disease [2].