Glaucoma-1

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thatt

Kam
-

and4IOP is
the risk
major factor

Common blindness
cause
of reversible
cataract
->

ratio
qup-disc
4

[ID =

<0.5 (normal

- Cuppings


loss axon
of
up size increases, more
whitish,

ClO ratio >0.8


Aqueous humour
produced by
ciliary process of
ciliary body
(Active secretion,
deffesion, ultrafilte
- ation]

Angle ↓

all into posterior
Tolle the Chamber
wer

through pupil

Anterior chamber
/
composition:clear, transparent 2 drainage system
He0
->
Trabecular pathway
19001
->

Ho
->

Uneoscleral
- Na! Kt, Don,
->

pathway.
-> Ascorbic acid, lactic acid
Glucose
->

humor.
Hypopyema-pus in
aqueous

corneal user.

Endophthalmites.

2.5 M1 per min - Aqueous humor production


Mean IOP =15mm of Hy
1)
(normal IOP 10 =
to 25 mm of
more prove
( 40yrs). After
60 yrs, female
prove
Angle closure
African
-> more glaucoma.

-> High myopia.


-> used

vwith Hyperthyroidism.
problem
supply.
as wel
pressure glaucoma (CCA)
normal - this.

thickness more
Ocular HTN- central corneal

([c+)

Used IOD exertbackward


pressure which damages the

optic nerve

-Non contact tonometer


(585m normal)
·
Schiotz tonometry
-
Goldmann Applantation
Gonoscopy

structure whether angle is
open or
new the angle
closed.

(neuroretinal aim)

superficial

- had
earachut
ene
.......
-ary
lauer

atrophy.
Idue to retinal
issue
damage)
sharp bendings
vessels.
of

-> of
Nasalization venels.

Bayoneting of vessels.

laminar dot sign seen when all

-> How wide the eyes can see.

Bedside test
Peripheralwe
·

disease.
for neurological
·

specially for glaucoma


central
->

30 vision
- Humphrey usual
field
Stimulus - static.

Goldmann usual static perimetry.


->
field.
Stimulus - Kinetic

Kinetic perimetry.

(159
temporar

neede
Because of eyebrow prominence
50'
-

60'
Because nasal bridge nasal side -
of
lower - to
e

temporal 90%
-

X
X defect
on
goe
tubular
Aston
Paracentral Scotoma:
visual
non seeing area in the field.
↓ Blind
spot scotoma.
-

Above and below between


ofblind spot
to to 20
of
visual
field.

vertical visual in diseases.


neurological
field defect
Tunnel vision:All degrees narrowed and only 5% or 10

remained.

Silent-ofeye
->

Bopter.
area is
5060 to 90 joining
it
paracentral scotoma when gothed with blind spot forms
Siedel's scotoma
sinel shaped and called

line
touches the horizontal
Arcuate -

Tubular vision:
(Advanced Series
X-Haunome pigmentosa
>

-
laser extension
ens.
Gonio
-

Goldman applantation
tonometer

b
Sl-Schwalbe's line
AtM= Anterior trabecular
meshwork
Ptm- posterior,

"only so open) Ss+ sceral


spur
BB ciliary body
+

Grade 4 Vilary body


sderal spur
If
2+ Trabecular meshwork
Schwalbe's line
Ifonly

shallow
->

-> shallow

normal.
->
scotoma.
Armate
-
armate fiber

-superior damage

Green- normal

yellow or red - vision loss.

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