Glaucoma

Question 1

What is the presentation of acute angle-closure glaucoma?

Answer 1

Sudden onset pain
Headache, nausea, vomiting
Blurred vision
Red eye
Haloes around lights

Question 2

What are the examination findings in acute angle-closure glaucoma?

Answer 2

Semi-dilated fixed pupil
Red eye
Dull or hazy cornea due to corneal oedema

Question 3

Name two triggers for acute angle-closure glaucoma?

Answer 3

Dilating (mydriatic) eye drops
Going in to a movie theatre (pupillary dilatation)

Question 4

What is the definitive surgical management of acute angle-closure glaucoma?

Answer 4

Laser peripheral iridotomy

Question 5

What is first line management in open angle glaucoma?

Answer 5

Prostaglandin analogues eg Latanoprost

Question 6

What are the side effects of Latanoprost?

Answer 6

Brown pigmentation of the iris
Increased eyelash length

Question 7

What are the symptoms of open angle glaucoma?

Answer 7

Often asymptomatic
May be detected at eye check with raised IOP or optic disc cupping
Late stages: loss of peripheral visions, haloes around lights particularly at night

Question 8

What are the side effects of Pilocarpine?

Answer 8

Constricted pupil, headache, blurred vision