6. Rise of IOP
Associated with primary ocular or systemic
disease
Types:
1. Secondary Open Angle Glaucoma
2. Secondary Angle Closure Glaucoma
7. OPEN ANGLE GLAUCOMA
ANGLE CLOSURE GLAUCOMA
Insidious and asymptomatic
Severe pain(Vth nerve)
Headache and Eyeache
Nausea, Vomiting asso. With pain
Scotoma
Redness
Frequent changes in presbyopic lens
Lacrimation
Delayed Dark Adaptation
Photophobia
Loss of vision and blindness
H/o intermittent attacks of subacute ACG
8. OPEN ANGLE GLAUCOMA:
Sluggish pupillary reflex
Diurnal variation of IOP (>8mmHg)
Provocative Tests
Persistently raised IOP
Optic disc changes
Visual field defects
9. ANGLE CLOSURE GLAUCOMA:
Eclipse Sign
Provocative tests(PACG suspect)
Closed angle on Gonioscopy
Acute RED eye
Semidilated, vertically oval and fixed pupil
Raised IOP
Optic disc hyperaemic and oedematous
10.
11. DIAGNOSTIC CRITERIA
1. INTRAOCULAR TENSION
2. OPTIC NERVE HEAD CHANGES
DIAGNOSTIC TESTS
TONOMETRY
OPHTHALMOSCOPY
3. VISUAL FIELD DEFECTS
4. ANGLE OF ANT. CHAMBER
PERIMETRY
GONIOSCOPY