Glaucoma Overview and Types

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Questions and Answers

What is the primary reason for increased intraocular pressure (IOP) in glaucoma?

  • Improper eye alignment
  • Increased secretion of aqueous humor (correct)
  • Decreased drainage of aqueous humor (correct)
  • Decreased vision in low light conditions

Which type of glaucoma is characterized by a gradual increase in intraocular pressure due to blockages?

  • Primary angle-closure glaucoma
  • Congenital glaucoma
  • Primary open-angle glaucoma (correct)
  • Secondary glaucoma

What is the expected reference range for intraocular pressure (IOP) in mm/Hg?

  • 15 to 25
  • 10 to 20 (correct)
  • 5 to 15
  • 20 to 30

Primary angle-closure glaucoma is defined by which characteristic event?

<p>Sudden closure of the angle between the iris and sclera (A)</p> Signup and view all the answers

Which condition is NOT a common cause of secondary glaucoma?

<p>Irregular pupil shape (D)</p> Signup and view all the answers

What symptom is commonly associated with primary open-angle glaucoma?

<p>Loss of peripheral vision (D)</p> Signup and view all the answers

Which of the following is a characteristic of primary angle-closure glaucoma?

<p>Elevated IOP greater than 30 mm Hg (C)</p> Signup and view all the answers

What condition is typically associated with experiencing colored halos around lights?

<p>Primary angle-closure glaucoma (B)</p> Signup and view all the answers

Which symptom differentiates primary angle-closure glaucoma from primary open-angle glaucoma?

<p>Severe pain and nausea (D)</p> Signup and view all the answers

What is most likely to increase during an episode of primary angle-closure glaucoma?

<p>Intraocular pressure (IOP) (C)</p> Signup and view all the answers

What should be monitored to assess the progression of glaucoma in a patient?

<p>Intraocular pressure greater than 20 mm Hg (D)</p> Signup and view all the answers

What is the primary method of treatment for glaucoma?

<p>Medication therapy (B)</p> Signup and view all the answers

Which technique should be employed after instilling eye drops to ensure their effectiveness?

<p>Applying pressure on the inner corner of the eye (B)</p> Signup and view all the answers

Which of the following is NOT a recommended practice for administering prescribed eye medication?

<p>Instilling multiple drops immediately for better effect (B)</p> Signup and view all the answers

What symptom should be assessed in patients with angle-closure glaucoma?

<p>Aching or discomfort around the eye (D)</p> Signup and view all the answers

Flashcards

Glaucoma

Damage to the optic nerve due to increased pressure inside the eye.

Intraocular Pressure (IOP)

Pressure inside the eye.

Primary Open-Angle Glaucoma (POAG)

A common type of glaucoma where fluid drains slowly from the eye, causing gradual increase in pressure.

Primary Angle-Closure Glaucoma

A type of glaucoma where the angle between iris and sclera closes suddenly, causing a rapid increase in pressure.

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Normal IOP range

10 - 20 mm/Hg of pressure.

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What is the usual IOP range in open-angle glaucoma?

The Intraocular Pressure (IOP) in primary open-angle glaucoma is usually elevated, ranging from 22 to 32 mm Hg.

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What are some symptoms of primary open-angle glaucoma?

Primary open-angle glaucoma can manifest with symptoms such as headache, mild eye pain, loss of peripheral vision, decreased accommodation, and halos seen around lights.

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What is a hallmark of primary angle-closure glaucoma?

Primary angle-closure glaucoma is characterized by a rapid onset of elevated intraocular pressure (IOP) exceeding 30 mm Hg.

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What are some symptoms of primary angle-closure glaucoma?

Symptoms include decreased or blurred vision, colored halos around lights, nonreactive pupils, severe pain and nausea, and sensitivity to light (photophobia).

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What is the difference between open-angle and angle-closure glaucoma?

Open-angle glaucoma involves gradual fluid drainage blockage and pressure increase, while angle-closure glaucoma involves sudden closure of the angle between the iris and sclera, leading to rapid pressure buildup.

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Tonometry

A test that measures the pressure inside the eye (intraocular pressure or IOP).

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Angle-Closure Glaucoma

A type of glaucoma where the drainage angle in the eye suddenly closes, causing a rapid build-up of pressure.

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Punctal Occlusion

A technique used after applying eye drops, where pressure is applied to the inner corner of the eye to prevent the medication from draining away.

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Glaucoma Medication

Medications are the primary treatment for glaucoma, helping to lower eye pressure and protect vision.

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Study Notes

Glaucoma Overview

  • Glaucoma is a disorder affecting the optic nerve.
  • Increased intraocular pressure (IOP) damages the optic nerve, leading to vision loss.
  • Normal IOP ranges from 10 to 20 mm/Hg.

Primary Glaucoma Types

  • Primary Open-Angle Glaucoma (POAG):
    • Most common type.
    • Aqueous humor outflow is reduced due to blockages in the eye's drainage system (Canal of Schlemm and trabecular meshwork).
    • IOP increases gradually.
  • Primary Angle-Closure Glaucoma:
    • IOP rises rapidly.
    • The angle between the iris and sclera closes abruptly.
    • Onset is sudden and urgent treatment is required.

Secondary Glaucoma

  • Secondary glaucoma results from various factors, including:
    • Trauma
    • Eye surgery
    • Eye tumors
    • Uveitis
    • Iritis
    • Neovascular disorders
    • Degenerative diseases
    • Central retinal vein occlusion.

Glaucoma Importance

  • Glaucoma is a leading cause of blindness.
  • Early diagnosis and treatment are crucial to prevent vision loss.

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