Glaucoma Flashcards

1
Q

eye disease which might pre-dispose to glaucoma

A

thickened cataracts lens, ectopic lens (potentially from trauma), diabetic retinopathy, tumours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

where does aqueous humour exit the anterior chamber of the eye?

A

through the trabecular meshwork

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the trabecular meshwork allows the aqueous humour to travel through to the ____ __ _____ into the episcleral venous system

A

canal of schlemm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

prolonged elevation of IOP can cause… (3)

A

changes in the optic nerve, peripheral visual loss, blindness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

acute closed angle glaucoma can be described as…

A

abrupt total closure of the angle causing a rise in IOP that is not self-limiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

chronic open angle glaucoma can be described as…

A

elevated IOP from an incomplete angle closure that is often asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

risk factors for open angle glaucoma are…

A

raised IOP, black race, FHx, age, hypertension, diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is open angle glaucoma diagnosed?

A

fundoscopy with slit lamp, IOP measurement, visual field assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment options for open angle glaucoma (8)

A

prostaglandin analogues, b-blockers, a-agonists, carbonic anhydrase inhibitors, miotics, combination drops, surgery, laser surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Prostaglandin analogues example…

A

lantoprost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Prostaglandin analogues such as lantoprost, decrease IOP by…

A

increasing uveoscleral outflow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

b-blockers used to decrease IOP include

A

timolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

b-blockers such as timolol decrease IOP by…

A

decreasing aqueous production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a-agonists used to decrease IOP include…

A

brimonidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

a-agonists such as brimonidine decrease IOP by…

A

increasing uveoscleral outflow and decreasing aqueous production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

carbonic anhydrase inhibitors used to decrease IOP include…

A

dorzolomide, acetazolomide (PO)

17
Q

carbonic anhydrase inhibitors such as dorzolomide decrease IOP by…

A

decreasing production of aqueous

18
Q

miotics used to decrease IOP include

A

pilocarpine

19
Q

miotics such as pilocarpine decrease IOP by…

A

decreasing resistance to outflow…they are mAChR agonists

20
Q

The pupil may appear ______ in acute closed angle glaucoma

A

fixed and dilated

21
Q

Common symptoms of acute closed angle glaucoma

A

nausea, vomiting, halos around lights, worsening in dark room, headache, painful red eye

22
Q

the onset of acute closed angle glaucoma may be…

A

hours to days

23
Q

Things to avoid in acute closed angle glaucoma…(2)

A

eye patches or darkened rooms - this worsens due to the pupil dilating in the dark

24
Q

initial treatment of acute closed angle glaucoma includes (3)

A

b-blockers (timolol), pilocarpine, IV acetazolomide - may also give anti-emetics and analgesia

25
Q

common complications of acute closed angle glaucoma

A

CRVO, CRAO, visual loss, repeated episodes in either eye

26
Q

follow up treatment of acute closed angle glaucoma once IOP has settled

A

peripheral iridectomy in both eyes - small hole in pupil at 12 o’clock to reduce resistance to aqueous movement