Pigmentary Glaucoma Flashcards
1
Q
What is the aetiology of pigmentary glaucoma?
A
Occurs secondary to pigment dispersion syndrome
2
Q
What is the pathogenesis of pigmentary glaucoma?
A
Pigment granules break off from the iris from the iris pigment epithelium.
These granules clog up the trabecular meshwork via the aqueous humour currents elevating the IOP
3
Q
What are the signs of pigmentary glaucoma
A
- Fluctuated IOP
- Krukenberg spindle
- Deep AC and flare
- Radial transillumination
- Visible pigment
4
Q
What are the symptoms a px would describe with pigmentary glaucoma?
A
- Previous trauma, surgery or eye disease
- Halo’s when looking at light
- Blurred Vision
5
Q
What is the management for a px with pigmentary glaucoma?
A
- If normal IOP and fields: monitor every 12 months.
- If IOP raised: refer in accordance with level
- If evidence of glaucomatous optic neuropathy: routine referral
6
Q
What is the treatment for pigmentary glaucoma?
A
- Medical treatment for IOP: Prostaglandins, beta blockers, carbonic anhydrase.
- Laser trabeculoplasty or laser iridotomy or trabeculotomy
