青光眼;課件英文版

1、青光眼GLAUCOMAGLAUCOMAPOAGNTGpigmentary glaucomaexfoliative glaucomasecondary glaucomaPOAG(primary open angle glaucoma)IOP21mmHgOpen angleDamage of the optic nerve & certain types of visual field deficitsWithout other eye or systemic diseasePOAGsymptomsEarly stage: no symptomsPOAGsignsabnormal optic di

2、sk : C/D, notch ISNTRNFLDPupil dilated, cornea edema, Gonioscope: open anglePVDdisc hemorrhage NFLD6weeks laterPOAGvisual field deficits paracentral scotomata nasal step defects temporal wedge defects arcuate scotomata-extending nasally from the blind spot quadrants or hemispheres of the visual fiel

3、d Constriction of the peripheral fields leaving only a small residual central field-Tunnel visionPOAG-diagnosistonometrySlit-lamp examination Gonioscopy Ophthalmoscopy Perimetry or visual field tests Fundus photography HRTPOAG-Treatment Drug therapy prostaglandins analoguebeta-adrenergic blockers ，a

4、lpha agonists，topical carbonic anhydrase inhibitorsmiotic eyedrops laser trabeculoplasty trabeculectomy OR NPTSNTG(normal tension glaucoma)24hour IOP21mmHgopen angleexclude other diseases cause optic nerve changepigmentary glaucomakrukenberg spindlesexfoliative glaucomasecondary glaucoma in iridocyc

5、litisopen angleclosed angle Posner-Schlossman syndrom（Glaucomatocyclitic Crisis） IOP elevated granulomatous KPRecurrent attacks contusion induced glaucomahyphemaghost cells glaucomahemolytic glaucomahemosiderotic glaucomaangle recessionlens associate glaucomaphacolytic glaucomalens particle glaucomaglaucoma with phacoanaphylaxisphacolytic glaucomaLens particle glaucoma Phacomorphic Glaucoma Lens subluxationNeovascular glaucomarubeosisiridocorneal endothelial syndrome(ICE)Sturge-Weber syndromecorticosteroid-induced glaucoma發(fā)育性青光眼嬰幼兒型青少年型伴有其他先天異常的青光眼 Axenfeld-Rieger綜合征 Pe