Anda di halaman 1dari 20

GLAUCOMA

Sufficient rise in intraocular pressure to cause visual damage

Classification
Congenital Glaucoma Primary Glaucoma 1- Open angle 2- closed angle Secondary Glaucoma Absolute Glaucoma

Congenital
Features Buphthalmos
corneal diameter 12 mm < 1 yr

Tears of descemets membrane Corneal haze Increased A/C depth Optic disc cupping

Primary Glaucoma
Primary open angle glaucoma

Features
Virtually symptom less frequent change of glasses gross field defect (late stages)

Diagnosis
Ophthalmic exam Field test

Optic Nerve

Field Test

Humphery Field Trace

Normal Disc

Cupped Disc

Primary Glaucoma's
Angle closure
Acute Very painful Reduced vision Nausea vomiting Can be triggered by dilating drops

Acute Glaucoma

Secondary Glaucomas
Lens Intumescence Dislocation Phacolytic Trauma Uveitis Neovascular

Absolute Glaucoma
Blind Painful Treatment Enucleation Laser/Cryotherapy Absolute alcohol

Treatment

Treatment
Medical Beta blockers (Timolol) Carbonic anhydraze inhibitors Azopt and Trusopt Sympathomimetics Propine and Apraclonidine Parasympathomimetics (pilocarpine) Prostaglandin Derivatives (Xalatan)

Treatment
Laser Trabeculoplasty Sclerostomy Cycloablation

Treatment
Surgical Goniotomy congenital Trabeculotomy for congenital glaucoma's Trabeculectomy for adult glaucoma's Implants for difficult non responsive

Anda mungkin juga menyukai