10: Drugs for Glaucoma

Question 1

three anatomic predispositions for glaucoma

Answer 1

1. shallow anterior chamber
2. narrow angle btwn cornea + iris
3. tight contact btwn iris + lens

Question 2

closed angle glaucoma with and without pupillary block

Answer 2

1. CAG with pupillary block: tight contact between iris and lens
2. CAG without pupillary block: ciliary processes push iris forward so the iris blocks outflow

Question 3

two drugs that will raise IOP in pts with open angle glaucoma

Answer 3

glucocorticoids, topical anti-muscarinics

Question 4

two drugs that will raise IOP in pts with closed angle glaucoma

Answer 4

a1-adrenomimetics + anti-muscarinics (TCAs, SNRIs, etc.)