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Glaucoma
Glaucoma is characterized by high IOP associated with optic disk cupping and visual field loss
Normal outflow through trabecular meshwork (large arrow) and uveoscleral routes (small arrow) and related anatomy.
In angle-closure glaucoma, the iris is abnormally positioned so as to block aqueous outflow through the anterior chamber (iridocorneal) angle.
Normal optic disc. Note the distinct optic disc margins, the well-demarcated cup, and the healthy pink color of the neuroretinal rim.
The cup-to-disc ratio of this optic nerve is 0.6. Clinical correlation with the patient's history and examination is required to decide if this optic nerve is abnormal. Glaucomatous optic nerve cupping. The cup in this optic nerve is enlarged to 0.8, and there is typical thinning of the inferior neuroretinal rim, forming a "notch."
Siderosis
Trauma
Neovascular glaucoma
Open-angle, trabecular abnormality
Treatment Goal
The goal of glaucoma treatment is to preserve the visual field of patients and prevent the loss of visual function that is associated with the disease.
Ref: Survey of Ophthalmology; 2003 Vol. 48(1): S1-S3
The treatment options of glaucoma includes: Drugs Laser Operation The treatment is decided by many factors:
Type of glaucoma Stage of glaucoma Damage done Status of the other eye Response to other treatment already taken Patient compliance or reliability about taking drugs and follow up examination
Operation -Trabeculectomy
So
Let your patients have good compliance
Tell him what is glaucoma How to cooperate with doctor Check your treatment
Differential diagnosis
Acute conjunctivitis Acute angle-closure glaucoma (acute ACG)
Symptoms
iridocyclitis
Acute ACG
Vision
Toboggan
Pain position usually located Ophthalmalgia in ocular area and migraine Nausea and vomit No Be often accompanied with No
slight or not
No
Secretion
No
A great deal
signs Congestion Cornea KP Anterior chamber Aqueous humor Iris Pupil Intraocular pressure
iridocyclitis Ciliary or mixed clarity offwhite Not shallow Flare and cells Unclear furrow nodule Shrink, irregular Normal or low IOP
Acute ACG Ciliary or mixed opaque pigmentary shallow Flare and exudation Segmental atrophy of iris Dilate, vertical oval shape High IOP
Acute conjunctivitis Conjunctival clarity No Not shallow Normal Normal Normal Normal
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