Contents

Disease&Treatment50

Glaucoma Suspect?, OHT ocular hypertension 👁 What is Glaucoma Suspect?A glaucoma suspect is not yet diagnosed with glaucoma,but shows risk factors or suspicious findings.📌 Diagnostic FeaturesFindingDefinitionOcular HypertensionIOP ≥ 21 mmHgOptic Disc SuspicionVCDR ≥ 0.6, rim thinning/notchingRNFL ChangesRetinal nerve fiber layer defectsVisual Field ChangesPossible glaucomatous field loss✅ True glaucoma = Requires both structure & funct.. 2025. 4. 20.
Types of Glaucoma: Open-Angle vs Angle-Closure 👁 Types of Glaucoma: Open-Angle vs Angle-ClosureGlaucoma is a progressive optic neuropathy marked by:Structural damage to the optic nerveFunctional loss (visual field defects)This condition can be classified anatomically based on the status of the anterior chamber angle.📌 Angle-Closure Glaucoma (ACG)The angle between the iris and cornea is visibly closedAccounts for ~10% of all glaucomaAqueous.. 2025. 4. 20.
Posner-Schlossman Syndrome (PSS), Glaucomatocyclitic Crisis (GCC), treatment attack, slit lamp 👁 What is Posner-Schlossman Syndrome (PSS)?First described in 1948 by Posner & SchlossmanAlso called Glaucomatocyclitic Crisis (GCC)Characterized by recurrent, unilateral episodes of elevated IOP with mild anterior uveitisAffects young to middle-aged males (20–50 years)🔍 Clinical FeaturesPhaseFindingsAcute attack Elevated IOP (40–60 mmHg)Mild ocular inflammationKeratic precipitates (KPs)Cornea.. 2025. 4. 20.
Pseudoexfoliation Syndrome (PEX)? glaucoma, pupil cataract, true foliation 👁 What is Pseudoexfoliation Syndrome (PEX)?PEX is a systemic ocular condition in which abnormal fibrillar protein deposits accumulate on the lens, iris, cornea, and other ocular structuresFirst described by Lindberg in 1917Best observed after pupillary dilationPredominantly affects elderly patients, more common in females🔍 True vs Pseudo ExfoliationTypeDescriptionTrue exfoliationCapsular delam.. 2025. 4. 20.
Aniridia, WAGR syndrome, nystagmus, glaucoma, strabismus 👁 What is Aniridia?Aniridia is a rare congenital eye disorder characterized by the partial or complete absence of the iris.While the iris controls how much light enters the eye, aniridia affects not only the iris but also multiple ocular structures, making it a panocular disease.🔬 Key Ocular FeaturesFeatureDescriptionPhotophobiaIris absence leads to light sensitivityVisual delayDue to corneal .. 2025. 4. 20.
Sturge-Weber Syndrome (SWS), phakomatosis, Choroidal hemangioma & Glaucoma 👁 What is Sturge-Weber Syndrome (SWS)?Sturge-Weber Syndrome is a type of phakomatosis,characterized by vascular malformations involving the brain, face, and eyes.Also called Encephalotrigeminal angiomatosis📊 Incidence: ~1 in 50,000 live births🧠 The Triad of AngiomasIntracranial AngiomaTypically in occipital / parieto-occipital lobesCommon symptoms:Seizures (75–90%)Intellectual disability (50%.. 2025. 4. 20.
👁 Intraocular Pressure (IOP) & Glaucoma: Why It Matters, Tonometers for IOP Measurement 👁 Intraocular Pressure (IOP) & Glaucoma: Why It MattersGlaucoma causes irreversible optic nerve damageIOP measurement is the key tool for early detection and managementPlays a role in diagnosis, monitoring, and screening🧪 Key Tonometers for IOP Measurement1. Goldmann Applanation Tonometer (GAT)ProsConsGold standard, high accuracyRequires slit lamp, fluorescein, anesthesiaOperator-dependentRisk.. 2025. 4. 20.
Glaucoma Diagnosis = Matching Structure & Function 👁 Glaucoma Diagnosis = Matching Structure & FunctionGlaucoma is a disease of the optic nerve characterized by both:ComponentDescriptionStructuralOptic disc cupping, RNFL lossFunctionalVisual field defect (VFD)✅ Both must be present to confirm a diagnosis.🧪 How Pressure Causes DamageIOP ↑ targets the Inferotemporal (IT) region of the optic discThis leads to damage in the IT RNFL (Retinal Nerve .. 2025. 4. 20.
Glaucoma: Visual Field Loss, Visual field change 👁 Glaucoma: From Pressure to Vision LossStageDescriptionCauseElevated intraocular pressure (IOP ↑)ProcessGlaucomatous optic disc cuppingOutcomeVisual field loss🔬 Structure + Function = Glaucoma DiagnosisStructural changes: optic disc cupping, RNFL thinningFunctional loss: characteristic visual field defects (VFDs)✅ Diagnosis requires both structure & function🧠 Anatomical Basis of Visual Field.. 2025. 4. 20.