PACG Flashcards

1
Q

AC depth less than what predisposes the pt to PACG?

A

LESS than 2.1mm

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2
Q

In an acute attack of PACG what happens to the ON?

A

Swelling of the ON

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3
Q

When IOP is elevated 40-50 why is there no response to pilo?

A

Pupillary sphincter may be ischemic and unresponsive to miotic agents alone.

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4
Q

What percent of the fellow eye of PACG develop and attack in the next 5-10 yrs?

A

40-80%

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5
Q

What drug reverses dilation?

A

Dapiprazole 0.5%

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6
Q

What is capsular block syndrome?

A

Retained viscoelastic or fluid in the capsular bag pushes the PCIOL anteriorly, which may narrow the angle.

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7
Q

Where does a FV membrane stop growing?

A

PAS ends at the Schwalbe’s line because FV membrane can’t grow over healthy corneal endothelium (vs ICE syndrome)

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8
Q

Where does iris NV start?

A

The pupillary margin

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9
Q

What % of CRVO develop angle NV?

A

10%

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10
Q

What are the demographics of ICE?

A

UNILATERAL; presents between 20-50 and occurs more often in women.

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11
Q

What is the IOP in Chandler syndrome with microcystic corneal edema?

A

Can be normal and NOT elevated.

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12
Q

In Chandler syndrome what clinical findings predominate?

A
  1. Corneal and angle findings predominate

minimal iris atrophy and corectopia occur

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13
Q

What is the most common of clinical entities in ICE?

A

Chandler - 50% of ICE cases

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14
Q

What % of ICE pts develop GL and in which 2 dx is it present?

A

50% - more severe in:

  1. Progressive iris atrophy
  2. Cogan-Reese syndrome
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15
Q

How do ICE endothelium differ from normal type?

A

Filopodial processes and cytoplasmic actin filaments are present, supporting the migratory nature of these cells.

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16
Q

PAS that is non uniform in height and shape comes from what?

A

Uveitis/ inflm GL

17
Q

What is a/w POAG or PACG?

A

Intersitial keratitis

18
Q

Argon laser photocoagulation of the ciliary processes which may alter the vitreous face is a treatment for what?

A

Aqueous misdirection

19
Q

What 2 drugs cause a sudden myopic shift with uniform AC shallowing?

A
  1. Topamax

2. Diamox

20
Q

What should be suspected if angle closure occurs in younger patients with myopia?

A

Plateau iris

21
Q

PAS that begins at Schwalbe’s line and then extends in the posterior direction over the TM, scleral spur, and angle recess is what?

A

Plateau iris

22
Q

PAS that starts in the angle recess and works its way up to the Schwalbe’s line is what?

A

Pupillary block

23
Q

Which patients should be treated with long term miotic therapy?

A

Plateau iris

24
Q

With ectopic lentis where do you put the LPIs?

A

180 degrees apart