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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

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Presentation Transcript
classification
Classification
  • Congenital Glaucoma
  • Primary Glaucoma
  • 1- Open angle
  • 2- closed angle
  • Secondary Glaucoma
  • Absolute Glaucoma
congenital
Congenital
  • Features
  • Buphthalmos

corneal diameter 12 mm < 1 yr

  • Tears of descemet’s membrane
  • Corneal haze
  • Increased A/C depth
  • Optic disc cupping
primary glaucoma
Primary Glaucoma
  • Primary open angle glaucoma
  • Features

Virtually symptom less

frequent change of glasses

gross field defect (late stages)

  • Diagnosis

Ophthalmic exam

Field test

primary glaucoma s
Primary Glaucoma's
  • Angle closure
      • Acute
      • Very painful
      • Reduced vision
      • Nausea vomiting
      • Can be triggered by dilating drops
secondary glaucomas
Secondary Glaucomas
  • Lens
  • Intumescence
  • Dislocation
  • Phacolytic
  • Trauma
  • Uveitis
  • Neovascular
absolute glaucoma
Absolute Glaucoma
  • Blind
  • Painful
  • Treatment
  • Enucleation
  • Laser/Cryotherapy
  • Absolute alcohol
treatment18
Treatment
  • Medical
  • Beta blockers (Timolol)
  • Carbonic anhydraze inhibitors

Azopt and Trusopt

  • Sympathomimetics

Propine and Apraclonidine

  • Parasympathomimetics (pilocarpine)
  • Prostaglandin Derivatives (Xalatan)
treatment19
Treatment
  • Laser
  • Trabeculoplasty
  • Sclerostomy
  • Cycloablation
treatment20
Treatment
  • Surgical
  • Goniotomy

congenital

  • Trabeculotomy

for congenital glaucoma's

  • Trabeculectomy

for adult glaucoma's

  • Implants

for difficult non responsive