Divisi Glaukoma

Restiana Hilda Islami

1. A-40-year old woman came to the ophtalmologist complaining about pain in her right
eye,blurry vision. From the visual acuity examination RE 2/60 LE 5/7,5. IOP RE 37
IOP LE 14 mmHg, hole formation in the right iris(+).In Gonioscopic findings high PAS
which extends anterior to Schwalbe's line.What is the most correct diagnosis for this
patient?
a. Phacomorphic Glaucoma
b. Malignant Glaucoma
c. Glaucoma Suspect
d. Iridocorneal Endothelial Syndrome
e. Fuchs heterochromic iridocyclitis
(AAO 2019-2020 book 10 Glaucoma page163)

2. A 60-year-old woman was complaint of a right-sided periorbital headache, nausea, and

blurry vision upon awakening. Visual acuity of RE was 1/300.IOP examination of RE
50 mmHg.Slit lamp examination show hazy cornea and shallow anterior chamber and
dense cataract. From A B-scan ultrasound showed a thick lens pushing the iris forward
and an appositionally closed angle.What the treatment of choice for this patient?
a. Cholinergic agents
b. Iridotomy
c. Trabeculectomy
d. Prostaglandin analog
e. Laser iridotomy with cataract extraction
(AAO 2019-2020 book 10 Glaucoma page153)

3.  A 6-month-old boy presented with enlarged left eyeball referred to an

ophthalmologist.His mother said that his eye started bigger since 1 months ago.IOP LE
was 40 mmHg.Cornea diameter is 12mm.Epiphora(+),photophobia
 (+),blepharospasm(+),Haab striae(+).What’s the most correct statement about the
prognosis?
a. Newborn PCG has better prognosis than infantile PCG
b. More than 50% infantile PCG progress to legal blindness.
c. The prognosis is best when glaucoma is diagnosed between the ages 3-12
months
d. The prognosis is worse if corneal diameters are larger than 10 mm at
diagnosis
e. The prognosis is best when glaucoma diagnosed after 1 year of age.
(AAO 2019-2020 book 10 Glaucoma page 182 )

4. A patient with pseudoexfoliation syndrome will performed cataract surgery by an

ophthalmologist.Here some possible complications will occur during cataract surgery
is?
a. Lens dislocation and vitreous loss
b. Retinal detachment
c. Choroidal hemorrhage
d. Endolphtalmitis
e. Posterior Capsule Opacification
(AAO 2019-2020 book 10 Glaucoma page 115 )

5. A 17- years old boy was complained blurred vision in his both eye.The visual acuity
RE 5/40 LE 5/20.IOP RE 28mmHg LE 35 mmHg.From OCT anterior found open
angle.There was history of glaucoma in his family.What is the most correct
management for this patient?
a. Anti glaucoma agent
b. Trabeculotomy
c. Goniotomy
d. Laser Peripheral Iridotomy
e. Implantation Glaucoma Tube Shunt
(AAO 2019-2020 book 10 Glaucoma page 184 )