Glaucoma

Exam Cram

Closed Angle

• Moa: increased intraocular pressure 

• Presentation: 1-4hrs severe eye pain, loss of vision, halos around lights

• O/E: dilated unreactive pupil, ciliary vessel hyperemia

Outline

Background 

Open angle glaucoma

• Aqueous humour flows

  • • In: from cilary body into anterior chamber

    • Out: trabecular meshwork into canal of Schlemm, functioning as venous sinus

• Blockade of trabecular can cause open angle glaucoma

Diagnosis

Diagnostic criteria: 

History:

Examination:

Ix

Differentials

Management

1. Betablockers- timolol

2. Prostaglandin analogue

3. Trabeculectomy (last line)

Page written in 2024.