Structure-function relationship in glaucoma: from research to clinical practice

About the session

CPD ref: C-108322


This lecture will explore recent advancements in the understanding of the relationship between structural imaging and perimetry. The session will explain methods for structure-function mapping in glaucoma, the empirical relationship between structural and functional measures, some basic physiological processes underlying perimetric sensitivity and recent developments brought forward by artificial intelligence, novel imaging and innovative perimetric tests. All these aspects will be presented in the context of current and future clinical applications, with the objective of facilitating the integration of structural and functional information in clinical practice and glaucoma care.

Target audience

  • Optometrist.

Domains and learning outcomes

Clinical practice

s.5 Keep your knowledge and skills up to date.

  • Understands current thinking of how the physiology of glaucoma damage affects functional and structural metrics and how this knowledge will change testing procedures in the near future.

s.7 Conduct appropriate assessments, examinations, treatments and referrals

  • Understands the structure-function relationship and to be able to integrate information from OCT and visual field tests for glaucoma case finding and detection of progression.


Dr Giovanni Montesano

Giovanni Montesano is an ophthalmologist and, currently, a Clinical Glaucoma Fellow at Moorfields Eye Hospital. He was a full-time Research Fellow at City, University of London, with Prof. David P. Crabb between 2019 and 2021 and in collaboration with Prof. David F. Garway-Heath. He continued his surgical and clinical training as a Glaucoma Fellow at Moorfields Eye Hospital. 

His research interests focus mainly on clinical psychophysics, perimetry, retinal and optic nerve imaging, artificial intelligence and structure-function relationship in glaucoma and retinal diseases. He has collaborations with many international groups and has presented at important national and international conferences.