Glaucoma

Glaucoma

2 types:

- Open angle glaucoma
- Angle closure glaucoma

Open angle
-mostly asymptomatic.
-progressive visual FIELD loss
-no pain

Angle closure
-painful eye, headache,
-Red eye (The pain of angle closure is a dull ache that is more likely reported as unilateral headache rather than eye pain.)
-seeing halos around lights
-nausea, vomitting
-Migraine 과 헷갈릴 수 있음.

<nausea, vomitting headache>
<red painful eye with halo>

Glaucoma DX:

안압 >= 21 mmHg
두눈의 안압차 >= 5 mmHg

Cup-Disc ratio >= 0.6

RX:

Angle closure:
응급:
- 0.5 % timolol (b blocker)
- 1 % aproclonidine (alpha agonist)
- 2 % pilocarpine (cholinergic)

One drop of the each of the above into the eye.

+- acetazolamide po or iv

when acute attack is over: iridotomy


MEM TIP:
<팀, 앞으로 파일로 정리해 - 에이씨>
timolol, apraclonidine, pilocarpine, acetazolamide