Glaucoma Flashcards
normal IOP
13-21 mmHg
high IOP
> 21 mmHg
NT glaucoma is characterized by
+ glaucomatous changes
normal IOP
glaucoma is characterized by
+ glaucomatous changes
elevated IOP
ocular HTN is characterized by
- glaucomatous changes
elevated IOP
risk factors for glaucoma
-high iop
-age
-FH
-race/ethnicity
-inc. cup to disc ration
-thin central cornea thickness
-ocular perfusion pressure
-T2DM
-myopia
who needs to be treated for glaucoma
all with elevated IOP AND confirmed disc changes/field defects
what is the treatment goal for IOP
lower IOP 25% or more below pretreatment levels
1st line options for glaucoma (2)
prostaglandin analogs > beta blockers
2nd line for glaucoma
brimonidine (combo w/ timolol) > dorzolamide (combo w/ timolol) > solo CAIs > netarsudil/omidenepeg
examples of prostaglandin analogs
bimatoprost
latanoprost
lanatnoprostene bunod
tafluprost
travoprost
unoprostone
side effects of PG analogs
conjunctival hyperemia, hypertrichosis, iris pigmentation changes
systemic- infection, headache
contraindications to PG analogs
existing ocular inflammation (keratitis, iritis, uveitis, macular edema)
which PG analogs (2) have highest efficacy?
which has least AEs?
high eff- bimatoprost, latanoprostene bunod
least AE- omidenepeg
examples of beta blockers
betaxolol
carteolol
levobunolol
metipranolol
timolol