6.1.11 Treatment Of Ocualr Conditions

Question 1

Prior to referral, how is glaucoma detected in primary care?

Answer 1

• tonometry
• VFs
• VH grading
• ONH assessment
• OCT

Question 2

Which visual fields are used to detect glaucoma?

Answer 2

Threshold- Humphrey 24-2

Question 3

When assessing the ONH, what should you be carrying out?

Answer 3

Dilated BIO

Question 4

What are 5 signs you may see which can lead to a referral to the glaucoma refinement scheme

Answer 4

• glaucomatous Changes of the ONH
• VF loss (suggestive of glau)
• narrow AC
• > 24mmHg using GAT or NCT
• significant rise in IOPs

Question 5

What are the 4 parts to HES care of glaucoma?

Answer 5

1) baseline & monitoring before intervening
2) Therapeutic management
3) Surgical management
4) Reviewing GH (BP control)

Question 6

What does baseline & monitoring prior to glaucoma intervention include?

Answer 6

Humphrey 24-2 SITA fast every 4-6 mths

Question 7

What does therapeutic management do for glau?

Answer 7

Topical meds to reduce IOP —> increased blood flow to optic nerve head

Question 8

What are three examples of surgical management of glaucoma ?

Answer 8

• laser (YAG)
• trabeculectomy
• MIGS

Question 9

What is MIGS?

Answer 9

Micro-invasive glaucoma surgery