Glaucoma

Question 1

Risk Factors

and Triggers

Answer 1

Shallow ant. chamber
Thickened lens due to old age
Trabecular meshwork blockage

Triggers: TCA, SSRI, pupillary dilators, ipratropium

Question 2

Symptoms

Answer 2

Painful red eye
Blurred vision (halo around centre)
Headache
Naud vomiting

Question 3

Investigation

Answer 3

Slit lamp for intraoccular testing
Examine eye for cloudiness due to oedema.
Pupil can be fixed oval shape.
Palpate eye which will be hard.

Question 4

Management

Answer 4

Acetazolamide
Pilocarpine (opens up trabecular meshwork)
Steroid eye and mannitol if above does not work.

Further management is Laser Peripheral Iridotomy.