Professional Documents
Culture Documents
GLAUCOMA
WAQAAS AKMAL
Objectives
1.
Definition
2.
Classification
3.
4.
Etiology
5.
Clinical features
6.
Management
Definition of glaucoma
Glaucomais
Classification
2.
3.
No associated anomalies
Secondary Glaucoma
i.
ii.
Ocular disease
iii.
Systemic disorders
Classification of Primary
Congenital Glaucoma
In which IOP becomes elevated during
intrauterine life.(40%)
True
Infantile
IOP elevation
40% at birth
80% at 6 months
GLC3 gene
chromosome 2p21
GLC3B
Chromosome 1p36
Etiology
Etiology
Trabeculodysgenesis
Clinical features
Lacrimation
Corneal
haze
Blepharospas
m
Photophobia
Buphthalmos
Examination
Increased IOP
a.
b.
c.
Edema
Corneal edema
Examination
Increased IOP
b.
c.
Edema
Haabs striae
Examination
Increased IOP
b.
c.
Edema
Haabs striae
Lens subluxation
Axial myopia
Glaucomatous cupping
DDx
Increased IOP
Retinoblastoma (RB)
Retinopathy of prematurity (ROP)
Persistent hyperplastic primary vitreous
Excessive
tearing
Congenital nasolacrimal duct obstruction
Congenital
enlargement
Megalocornea
High myopia
Corneal
clouding
Birth trauma
Inflammatory corneal disease
Hereditary corneal disease
Keratomalacia
Corneal malformation
Diagnosis
Raised IOP
Enlargement of cornea
Gonioscopic findings
Management
Medicinal Therapy
Beta-blockers
NOT MIOTICS
Surgery
Goniotomy
Goniotomy
Management
Medicinal Therapy
Beta-blockers
NOT MIOTICS
Surgery
Goniotomy
Trabeculotomy
Trabeculectomy
Trabeculectomy
Management
Medicinal Therapy
Beta-blockers
NOT MIOTICS
Surgery
Goniotomy
Trabeculotomy
Trabeculectomy
Thank You.
REFERENCES:
MEDSCAPE