Eyes

Question 1

What is the most common form of glaucoma

Answer 1

Open angle glaucoma

Question 2

Why does open angle glaucoma occur

Answer 2

Due to restricted drainage of the aqueous humour through trabecular mesh work leading to ocular hypertension

Question 3

How is glaucoma treated

Answer 3

Treated with topical prostaglandins analogues (latanoprost, tafluprost, travoprost or bimatroprost)

Question 4

What is the treatment pathway of glaucoma

Answer 4

If initial prostaglandin analogue hasn’t worked, try a different one
If that doesn’t work, topical beta blockers: betaxolol, levobunolol, timolol
If that doesn’t work, carbonic anhydrase inhibitors: brinzolamide or dorzolomide
Brimonidine and pilocarpine can also be used

Question 5

What are the prostaglandin analogues and what are the side effects

Answer 5

Latanoprost, tafluprost, travoprost, bimatoprost

Dry eyes
Ocular discomfort
Change to eye colour
Hyperpigmentation of the peri-ocular skin
Darkening, thickening and lengthening of the eyelashes