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
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