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GLAUKOMA
THIEF OF VISION
diseases : elevated intraocular pressure compression & atrophy N II & loss of visual field.
second caused of blindness in Indonesia
The
Outflow aqueous humor : Produced by ciliary body COP pupil COA Trabeculum meshwork canalis Schlemm plexus venosus subconjungtiva
Classifications of Glaucoma
Primary
Glaucoma
No symptom Excavated disk (CD > 0,6) Visual field defect / Scotoma IOP > 21 mmHg
THERAPY :
1. Decrease the IOP with medications 20 50 %
Palpebra spasme Conjungtiva hyperemia Cornea oedema Narrow of the Anterior chamber Pupil wide Lens cloudy Papil not specific (oedema, pale) IOP >21 mmHg
Headache
Therapy;
1. Refer to hospital 2. Immediately decrease the IOP 3. Evaluate iridocornea angle, open ? 4. Operasi (iridotomy/filtering)
CONGENITAL GLAUCOMA New born Afraid of light hypersensitif Buphthalmos Cornea cloudy IOP >21 mmHg
EARLY DETECTION
Routine check-up
Occure symptom
Ophthalmologist
Examination
Optic Nerve IOP Out flow facility Ofthalmoscopi Tonometri Gonioskopi
Visual field
Perimetri
Ofthalmoscopy Direct
Tonometri Schiotz
Tonometri Aplanasi
CONFRONTATION TEST
GLAUCOMA THERAPY
Medicamentosa
Aim:
Operatif
Decrease IOP
Safe IOP
How high ?
1. Decrease the production of AH 2. Increase the out flow of AH 3. Damage the Ciliary Body 4. Flow the AH to other place (filtering operation)
Conclusion
Damage of the nerve in glaucoma The early detection is important since the damage is irreversible Therapy by decreasing IOP into safe level Obey the doctor suggest and disiplin with long-life medication may prevent of blindness
THANK YOU