Beruflich Dokumente
Kultur Dokumente
MANAGEMENT OF GLAUCOMA
By: John Henry Binarao
Management of Glaucoma
Treatment Reduction of IOP
and when possible, Correcting
the underlying cause
Medical and Surgical Treatments
Medical Treatment
Raised IOP
Bimatoprost
Latanoprost
Travoprost
uveoscleral outflow of aqueous.
Highly effective first-line or adjunctive agents
All the prostaglandin analogues conjunctival
hyperemia, hyperpigmentation of periorbital skin,
eyelash growth, and permanent darkening of the
iris
Epinephrine
o aqueous outflow with some decrease in aqueous
production.
o Dipivefrin is a prodrug of epinephrine that is
metabolized intraocularly to its active state
Indications: secondary
glaucomaparticularly
neovascular glaucomaand
glaucoma following corneal
graft surgery
Secondary Glaucoma
Treatment involves controlling IOP by medical and surgical
means but also dealing with the underlying disease if possible
Pigmentary Glaucoma
o Both miotic therapy and laser peripheral iridotomy
o Laser trabeculoplasty is frequently used in this condition but is
unlikely to obviate the need for drainage surgery.