Case #2 A forty-nine year old African-American male presents to your clinic. He

Question

Case #2 A forty-nine year old African-American male presents to your clinic. He reports not seing well. He is otherwise healthy, exercises daily, and has no medical condition or recent illness. He denies any family history of blindness. His vaccinations are all up-to-date. His visual acuity is 20/80 best corrected to 20/30 OU. Pupils are equal and reactive to light without afferent papillary defect. Slit lamp biomicroscopy is significant for early cataract. Intraocular pressure by applanation is 28 mmHg OD and 29 mmHg OS. Pachymetry is significant for 489 ?m OD and 494 ?m OS. The cup-to-disc ratio is 0.75 OU with thinning of both temporal rims, barring of the vessels, and pale nasal rims OU. The macular is flat; vessels and vitreous are within normal limits. Gonioscopy is unremarkable. What is the next test you would order for this patient? . What is the most likely diagnosis? . Give the definition for this condition. What is the pathogenesis to this condition? If untreated, this condition can lead to What are the three treatment options for this condition? List the different classes of topical medications used to treat this condition and their mechanisms of action. List the two surgical procedures performed to control this condition .

Explanation / Answer

1. Perimetry - to detect visual field defect.

2. Primary open angle Glaucoma

3. Slowly progressive rise in Intraocular pressure (more than 21 mm of Hg) with normal appearing anterior chamber angle.

4. Pathogenesis - IOP rises due to decrease in aqueous outflow which may be caused by -

5. If untreated then it may lead to significant loss of vision and blindness.

6. Treatment option

7. Following are classes of medecine -

8. Surgery -

If you found this answer helpful then please rate it. Comment if you have any problem in understanding this answer.

Related Questions

Navigate

• Browse (All)
• Browse C
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.