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M.R Shoja MD Shahid Sadoughi Medical Science Yazd. Iran

Acute Glucoma. M.R Shoja MD Shahid Sadoughi Medical Science Yazd. Iran. ANATOMY OF EYE. GLAUCOMA.

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M.R Shoja MD Shahid Sadoughi Medical Science Yazd. Iran

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  1. Acute Glucoma M.R Shoja MD Shahid Sadoughi Medical Science Yazd. Iran M.R.SHOJA

  2. ANATOMY OF EYE M.R.SHOJA

  3. GLAUCOMA Glaucoma is the second leading cause of blindness in the world. In 2000 there were an estimated 66.8 million people with glaucoma , 6.7 million of whom had bilateral blindness secondary to glaucoma. Glaucoma has been definded as a progresssive optic neuropathy M.R.SHOJA

  4. Glaucoma classification Closed angle : • Primary • secondary Open angle : • Primary • Secondary M.R.SHOJA

  5. Acute angle closure glaucoma • Rapid increase in pressure of eye • In Asia is more common • 2-3 times more common in women than men • Much higher in hyperopic eyes M.R.SHOJA

  6. M.R.SHOJA

  7. Precipitating factors 1-Mydriasis Darkness Medications Emotional upset 2- Extreme Miosis 3- Prone position M.R.SHOJA

  8. Dramatic symptoms • Severe eye pain • nausea and vomiting • Headache • Blurred vision • Haloes around light • Profuse tearing • Fix mid-dilated pupil M.R.SHOJA

  9. M.R.SHOJA

  10. Exams & Tests • Gonioscopy • Tonometry • Biomicroscopy • Ophthalmoscopy • Perimetry M.R.SHOJA

  11. Treatment B-adrenergic antagonist Timolol -adrenergic agonist : Apraclonidine Acetazolamid Trusopt Hyper osmotic agent Laser iriditomy PI Surgical iridectomy M.R.SHOJA

  12. M.R.SHOJA

  13. Congenital glaucoma • Primary • Secondary (Sturg-weber ) M.R.SHOJA

  14. Primary congenital(Infantile glaucoma) • 60% are diagnosed by 6 months • 80% within first year • 65% are male • Bilateral in 70% cases • Incidence being 1 in 25000 births M.R.SHOJA

  15. Eye exam • Buphthalmos • Corneal enlargement > 13mm • Corneal edema • Glaucomatous cupping M.R.SHOJA

  16. Symptoms • Epiphora • Photophobia • Blepharospasm M.R.SHOJA

  17. Differential diagnosis • Birth trauma • Obstruction of lacrimal system • Congenital syphilis, rubella • Mucopolysaccahridoses • CHED M.R.SHOJA

  18. Treatment Surgical • Goniotomy • Trabeculotomy M.R.SHOJA

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