Professional Documents
Culture Documents
Glaucoma: Viviany Taqueti and Scott Vafai HST 150
Glaucoma: Viviany Taqueti and Scott Vafai HST 150
From http://www.merckfrosst.ca/e/health/glaucoma/glaucoma/classify/home.html
Case 2
Mrs. P is a 65 yr. old female who has become acutely ill in the
waiting room. An ophthalmologic assistant had dilated her eyes in
preparation for examination. She is now complaining of nausea,
diaphoresis and pain in her right eye, which is now red and swollen.
Closed Angle Glaucoma
• Apposition of iris and
trabecular meshwork
• Parasympatholytics
(pupillary dilation) can
precipitate attack
• Increase risk with age,
increase in volume of lens
• Acute onset, patient
complains of nausea, headache
(rather than eye ache),
malaise, general distress
• Requires immediate
treatment
BOTTOM LINE: IOP from Aqueous Flow, 3 Sites
SIDENOTE:
WHY WOULD YOU WANT TO DILATE MRS. P’s PUPILS
WITH PHENYLEPHRINE VS. AN ANTICHOLINERGIC?
REVIEW: Autonomic NS Effect on the Eye
RECEPTOR ACTIVATION WILL: TO LOWER IOP, AIM FOR:
IRIS, Circular Fibers mAchR : Constrict Pupil Activity
IRIS, Radial Fibers 1 R : Dilate Pupil Activity
CILIARY MUSCLES mAchR : Contract for Accomodation Activity
2 R : Relax for Far Vision Activity