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Glaucoma for medical students a ten minute presentation photos off the www & Good Hope David Kinshuck, Good Hope Hospital, www.goodhope.org.uk/departments/eyedept/. Glaucoma: what is happening. Or poor blood supply here. Either: the drain blocks here.
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Glaucomafor medical studentsa ten minute presentationphotos off the www & Good HopeDavid Kinshuck, Good Hope Hospital,www.goodhope.org.uk/departments/eyedept/
Glaucoma: what is happening Or poor blood supply here Either:the drain blocks here Damages the optic nerve..looks ‘caved in’, called ‘cupped’
Rim of optic nerve becomes thinner as disc caves in and becomes more cupped Characteristic pattern to loss of visual field
Types of glaucoma • Congenital • Secondary • Juvenile • Chronic open angle • Acute closed angle • Many different types
Acute glaucoma • Emergency • Can be more gradual • Red eye • Achy, abdominal pain • Misty vision • Go from light into dark • Small eye, shallow anterior chamber, pupil mid dilated, • Iris lens contact • Push the iris forward • Eye feels hard
Chronic glaucoma • Painless, common in elderly • Don’t notice anything wrong • detected by optometrist • Screening vital • field, pressure, disc