GLAUCOMA
Most common?
Open angle glaucoma- due to restricted drainage of aqueous humour through trabecular meshwork leading to ocular hypertension
GLAUCOMA TREATMENT?
1st LINE?
2nd LINE?
3rd LINE?
1st LINE? Topical prostaglandin analogue (latanoprost/tafluprost/travoprost/biamtoprost- TRY EACH ONE)
2nd LINE? Topical beta-blocker- betaxolol/levobunolo/timolol
3rd LINE? Carbonic anhydrase inhibitor- brinzolamide/dorzolamide
Brimonidine/Pilocarpine can also be used
SIDE-EFFECTS OF PROSTAGLANDIN ANALOGUES? (latanoprost/tafluprost/travoprost/biamtoprost)
DRY EYES
OCULAR DISCOMFORT
EYE COLOUR CHANGE
HYPERPIGMENTATION OF THE PERI-OCULAR SKIN
DARKENING/THICKENING/LENGTHENING OF EYELASHES