Primary Open Angle Glaucoma (POAG)

Last updated 20.09.12

 

Index

 

Definition

-  Glaucoma (optic neuropathy from IIOP) causing gradual visual changes

 

Features

-  Most common cause of glaucoma

-  Chronic progressive: Sneak thief of sight

-  May present after considerable vision loss

-  One of leading causes of preventable blindness

 

Associated S/S

-  Characteristic visual field loss

-  Multicolored halos in vision

-  Headache

-  Fundoscopy: cupping & atrophy of optic disc

-  Afferent pupillary defect

 

Ix

-  Tonometry: IIOP > 21 mmg Hg

-  Tonopen or slit lamp

-  Slit lamp

-  Stereofundus photogtaphs

-  Visual field analysis

-  If normotensive glaucoma need further Ix to exclude DDx

-  FBE, ESR

-  +/- neuroimaging

-  Syphilis serology (not VDRL)

 

Mx

-  Acetazolamide (CAI)

-  Topical

-  Beta blocker: Cartelol..

-  Steroid 1-2 doses

-  Alpha agonists: Brimonidine

-  Mitotic agents: Pilocarpine

-  Prostaglandin analogs: Latanoprost

-  Sx

-  Trabeculoplasty or trabeculectomy

-  Drainage implant