POAG----diagnosis
• tonometry • Slit-lamp examination • Gonioscopy • Ophthalmoscopy • Perimetry or visual field tests • Fundus photography
• HRT
• IOP elevated • granulomatous KP • Recurrent attacks
contusion induced glaucoma
• hyphema • ghost cells glaucoma • hemolytic glaucoma • hemosiderotic glaucoma • angle recession
END
Lens subluxation
Neovascular glaucoma
• rubeosis
iridocorneal endothelial syndrome (ICE)
Sturge-Weber syndrome
corticosteroid-induced glaucoma
发育性青光眼
lens associate glaucoma
• phacolytic glaucoma • lens particle glaucoma • glaucoma with phacoanaphylaxis
phacolytic glaucoma
Lens particle glaucoma
Phacomorphic Glaucoma
• RNFLD • Pupil dilated, cornea edema, • Gonioscope: open angle
• PVD－disc hemorrhage
• NFLD
• 6weeks later
POAG－－visual field deficits
• paracentral scotomata • nasal step defects • temporal wedge defects • arcuate scotomata----extending nasally from
types of visual field deficits • Without other eye or systemic disease
POAG－－symptoms
• Early stage: no symptoms
POAG－－signs
• abnormal optic disk : C/D, notch ISN’T
POAG----Treatment
• Drug therapy prostaglandins analogue beta-adrenergic blockers ， alpha agonists， topical carbonic anhydrase inhibitors miotic eyedrops
• laser trabeculoplasty • trabeculectomy OR NPTS
NTG (normal tension glaucoma)
• 24hour IOP≤21mmHg • open angle • exclude other diseases cause optic
nerve change
pigmentary glaucoma
•
krukenberg spindles
exfocoma in iridocyclitis
• open angle • closed angle
•
Posner-Schlossman syndrom （Glaucomatocyclitic Crisis）
the blind spot • quadrants or hemispheres of the visual field • Constriction of the peripheral fields leaving
only a small residual central field------Tunnel vision
• 婴幼儿型 • 青少年型 • 伴有其他先天异常的青光眼
Axenfeld-Rieger综合征 Peters异常
Posterior Embryotoxon
Rieger's anomaly
iridogoniodysgenesis syndrome (IGDS)
小 梁 切 开 术
小 梁 切 开 术
GLAUCOMA
GLAUCOMA
• POAG • NTG • pigmentary glaucoma • exfoliative glaucoma • secondary glaucoma
POAG (primary open angle glaucoma)
• IOP≥21mmHg • Open angle • Damage of the optic nerve & certain