ophthal

Question 1

open vs closed angle glaucoma

Answer 1

primary open: iris not blocking trabecular meshwork
primary closed: physiological anatomical variation → iris blocks trabecular meshwork
secondary closed: lens pushes against iris → blockage of trabecular meshwork

Question 2

management glaucoma

Answer 2

cons: monitoring of IOP, visual fields, optic disc / inform DVLA

med: 1st line topical prostaglandin analogue (lantanoprost)
2nd line carbonic anhydrase inhibitors (acetazolamide), b-blockers (timolol)

surg:
open: trabeculoplasty
closed: iridotomy