Glaucoma Flashcards

1
Q

Group of disorders that cause increased introcular pressure in the eye. If pressure is to great causes blindness.

A

Glaucoma

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2
Q

Can treat it bu can’t

A

prevent it

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3
Q

Painless and can be gradual

A

regular testing is needed

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4
Q

Primary Glaucoma (most common)

A
  • Primary open-angle glaucoma (POAG)
  • Affects both eyes
  • Aqueous humor through angle is reduced -> IO increases
  • Peripheral vision loss that progresses

Primary angle closed glaucoma

  • sudden onset - closes chamber angle
  • EMERGENCY
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5
Q

Secondary

A

Identifiable cause ( injury, drugs, surgery, inflammation)

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6
Q

Associated

A

Systemic disorders

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7
Q

Assessment

A
  • History
  • Vision may be foggy
  • Mild eye aching
  • Headache
  • Halos
  • Loss of peripheral vision/ no improvement with glasses
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8
Q

Assessment of PACG

A

Severe pain around eyes

  • Pain radiates over face
  • reddened sclera
  • Foggy cornea
  • Dilated, nonreactive pupil
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9
Q

Diagnostics

A

Tonometry- measures IOP
Normal 10-21 mm Hg
POAG 22-32
PACG > 30

Perimetry- visual field testing
Gonioscopy- visualize front of eye
Imaging of optic nerve

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10
Q

Interventions

A

Early detection

  • Opthalmic drugs
  • implanted shunt
  • your job-> EDUCATION
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11
Q

Education

A

Promote independence

  • Drug adherance
  • Proper Technique: wash hands, punctal occlusion, avoiding wash out
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