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GLAUCOMA
Prepared By-Prepared By-
Krishna KumarKrishna Kumar
B . Pharm , IV - SemB . Pharm , IV - Sem
Submitted To-Submitted To-
Mr. Manoj YadavMr. Manoj Yadav
 Glaucoma is an eye disease that can damage your optic
nerve.
 The optic nerve supplies visual information to your brain from
your eyes.
 Glaucoma is usually, but not always, the result of abnormally
high pressure inside your eye.
 Over time, the increased pressure can erode your optic nerve
tissue, which may lead to vision loss or even blindness.
 it’s caught early, you may be able to prevent additional vision
loss.
What Are the Symptoms of Glaucoma?
The most common type of glaucoma is primary open-angle
glaucoma.
It has no signs or symptoms except gradual vision loss.
For that reason, it’s important that you go to yearly
comprehensive eye exams so your ophthalmologist, or eye
specialist, can monitor any changes in your vision.
Acute-angle closure glaucoma, which is also known as
narrow-angle glaucoma, is a medical emergency.
Other Symptoms…
 severe eye pain
 nausea
 vomiting
 redness in your eye
 sudden vision disturbances
 seeing colored rings around lights
 sudden blurred vision
What Causes Glaucoma?
 dilating eye drops
 blocked or restricted drainage in your eye
 medications, such as corticosteroids
 poor or reduced blood flow to your optic nerve
 high or elevated blood pressure
GLAUCOMA
How do we diagnose it?
 IOP is not helpful diagnostically until it reaches
approximately 40 mm Hg at which level the
likelihood of damage is significant.
 Visual fields are also not helpful in the early stages
of diagnosis because a considerable number of neurons
must be lost before VF changes can be
detected.
 Optic nerve damage in the early stages is difficult
or impossible to recognize.
 50% of people with glaucoma do not know it!
Who Is at Risk of Glaucoma?
According to the
World Health Organization(WHO),
glaucoma is the second leading cause of
blindness around the world. The risk
factors for glaucoma include:
 Age
People over 60 are at increased risk of glaucoma, warns the NEI,
and the risk of glaucoma increases slightly with each year of age.
If you’re African-American, your increase in risk begins at age 40.
Continued…
 Eye Problems
Chronic eye inflammation and thin corneas can lead to increased pressure in
your eyes. Physical injury or trauma to your eye, such as being hit in your eye,
can also cause your eye pressure to increase.
 Family History
Some types of glaucoma may run in families. If your parent or grandparent had
open-angle glaucoma, you’re at an increased risk of developing the condition.
 Medical History
People with diabetes and those with high blood pressure and heart disease
have an increased risk of developing glaucoma.
NormalNormal
GLAUCOMAGLAUCOMA
GlaucomaGlaucoma
Can Glaucoma Be Prevented?
i. Glaucoma can’t be prevented, but it’s still
important to catch it early so you can begin
treatment that will help prevent it from getting
worse.
ii. The best way to catch any type of glaucoma early
is to have an annual preventive eye care
appointment.
iii. Make an appointment with an ophthalmologist.
Simple tests performed during these routine eye
checks may be able to detect damage from
glaucoma before it advances and begins causing
vision loss.
GLAUCOMA
Types of glaucoma
I. Primary:
A. Congenital
B. Hereditary
C. Adult (common types)
1. Narrow angle
2. Open angle
(Normal tension glaucoma)
II. Secondary
A. Inflammatory
B. Traumatic
C. Phacolytic etc.
GLAUCOMA
TreatmentTreatment
MedicalMedical SurgicalSurgical
 MioticsMiotics
 Beta-blockersBeta-blockers
 Carbonic anhydraseCarbonic anhydrase
inhibitorsinhibitors
 ProstaglandinProstaglandin
analoguesanalogues
 Alpha-2 agonistsAlpha-2 agonists
 Argon laser trabeculoplastyArgon laser trabeculoplasty
 Filtering procedureFiltering procedure
 CyclocryotherapyCyclocryotherapy
 Cyclolaser ablationCyclolaser ablation
THANK YOU ALL FOR LISTENING!THANK YOU ALL FOR LISTENING!

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Krishna kumar glucoma

  • 1. GLAUCOMA Prepared By-Prepared By- Krishna KumarKrishna Kumar B . Pharm , IV - SemB . Pharm , IV - Sem Submitted To-Submitted To- Mr. Manoj YadavMr. Manoj Yadav
  • 2.  Glaucoma is an eye disease that can damage your optic nerve.  The optic nerve supplies visual information to your brain from your eyes.  Glaucoma is usually, but not always, the result of abnormally high pressure inside your eye.  Over time, the increased pressure can erode your optic nerve tissue, which may lead to vision loss or even blindness.  it’s caught early, you may be able to prevent additional vision loss.
  • 3. What Are the Symptoms of Glaucoma? The most common type of glaucoma is primary open-angle glaucoma. It has no signs or symptoms except gradual vision loss. For that reason, it’s important that you go to yearly comprehensive eye exams so your ophthalmologist, or eye specialist, can monitor any changes in your vision. Acute-angle closure glaucoma, which is also known as narrow-angle glaucoma, is a medical emergency.
  • 4. Other Symptoms…  severe eye pain  nausea  vomiting  redness in your eye  sudden vision disturbances  seeing colored rings around lights  sudden blurred vision
  • 5. What Causes Glaucoma?  dilating eye drops  blocked or restricted drainage in your eye  medications, such as corticosteroids  poor or reduced blood flow to your optic nerve  high or elevated blood pressure
  • 6. GLAUCOMA How do we diagnose it?  IOP is not helpful diagnostically until it reaches approximately 40 mm Hg at which level the likelihood of damage is significant.  Visual fields are also not helpful in the early stages of diagnosis because a considerable number of neurons must be lost before VF changes can be detected.  Optic nerve damage in the early stages is difficult or impossible to recognize.  50% of people with glaucoma do not know it!
  • 7. Who Is at Risk of Glaucoma? According to the World Health Organization(WHO), glaucoma is the second leading cause of blindness around the world. The risk factors for glaucoma include:  Age People over 60 are at increased risk of glaucoma, warns the NEI, and the risk of glaucoma increases slightly with each year of age. If you’re African-American, your increase in risk begins at age 40.
  • 8. Continued…  Eye Problems Chronic eye inflammation and thin corneas can lead to increased pressure in your eyes. Physical injury or trauma to your eye, such as being hit in your eye, can also cause your eye pressure to increase.  Family History Some types of glaucoma may run in families. If your parent or grandparent had open-angle glaucoma, you’re at an increased risk of developing the condition.  Medical History People with diabetes and those with high blood pressure and heart disease have an increased risk of developing glaucoma.
  • 10. Can Glaucoma Be Prevented? i. Glaucoma can’t be prevented, but it’s still important to catch it early so you can begin treatment that will help prevent it from getting worse. ii. The best way to catch any type of glaucoma early is to have an annual preventive eye care appointment. iii. Make an appointment with an ophthalmologist. Simple tests performed during these routine eye checks may be able to detect damage from glaucoma before it advances and begins causing vision loss.
  • 11. GLAUCOMA Types of glaucoma I. Primary: A. Congenital B. Hereditary C. Adult (common types) 1. Narrow angle 2. Open angle (Normal tension glaucoma) II. Secondary A. Inflammatory B. Traumatic C. Phacolytic etc.
  • 12. GLAUCOMA TreatmentTreatment MedicalMedical SurgicalSurgical  MioticsMiotics  Beta-blockersBeta-blockers  Carbonic anhydraseCarbonic anhydrase inhibitorsinhibitors  ProstaglandinProstaglandin analoguesanalogues  Alpha-2 agonistsAlpha-2 agonists  Argon laser trabeculoplastyArgon laser trabeculoplasty  Filtering procedureFiltering procedure  CyclocryotherapyCyclocryotherapy  Cyclolaser ablationCyclolaser ablation
  • 13. THANK YOU ALL FOR LISTENING!THANK YOU ALL FOR LISTENING!

Editor's Notes

  1. And you thought glaucoma was a disease in which there was too much pressure in the eye! So did most ophthalmologists until several years ago.
  2. But pressure certainly plays a role. Glaucoma is just too complicated to fit a nice simple definition.
  3. The three mainstays of glaucoma diagnosis are inadequate. The actual intra-ocular pressure is too imprecise, and the changes in the visual field and the optic nerve occur too late to prevent most of the damage.
  4. Sobering facts!
  5. Iris Bombe with secluded pupil
  6. Two standard deviations above the mean occurs at about 22-23 mmHg.
  7. This lecture covers only congenital and adult varieties of glaucoma but it is important to realize there are many other causes.
  8. No treatment works all the time!