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CLASSICAL POAG

CLASSICAL POAG. RAISED IOP OPTIC DISC CUPPING VISUAL FIELD LOSS VERY COMMON ASYMPTOMATIC DAMAGE IRREVERSIBLE. POAG. POAG. 30. 20. POAG. OPTIC DISC CHANGES. OPTIC DISC CHANGES. DISC HAEMORRHAGES. VISUAL FIELD LOSS. OCULAR HYPERTENSIVES. RAISED IOP NORMAL DISCS NO FIELD LOSS.

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CLASSICAL POAG

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  1. CLASSICAL POAG • RAISED IOP • OPTIC DISC CUPPING • VISUAL FIELD LOSS • VERY COMMON • ASYMPTOMATIC • DAMAGE IRREVERSIBLE

  2. POAG

  3. POAG

  4. 30 20 POAG

  5. OPTIC DISC CHANGES

  6. OPTIC DISC CHANGES

  7. DISC HAEMORRHAGES

  8. VISUAL FIELD LOSS

  9. OCULAR HYPERTENSIVES • RAISED IOP • NORMAL DISCS • NO FIELD LOSS

  10. NORMAL TENSION GLAUCOMA • NORMAL IOP • FIELD LOSS • OPTIC DISC CUPPING • POST TRABECULECTOMY SOME PATIENTS CONTINUE TO LOSE FIELD

  11. IOP GLAUCOMA AGEING VASCULAR TOXIC FREE RADICALS PATHOGENESIS

  12. GLAUCOMATOUS OPTIC NEUROPATHY • PRESSURE SENSITIVE • PRESSURE INSENTIVE • ONLY TREATMENT OF VALUE IS TO LOWER IOP

  13. POAG • RATE OF FIELD LOSS • IOP > 30mm BLIND IN 3 - 5 YRS • IOP 20 - 30 mm BLIND IN 5 - 15 YRS • IOP < 15 mm BLIND IN 30 YRS • MONITER WITH VISUAL FIELDS

  14. DRUGS • PILOCARPINE • PROPINE • BETA BLOCKERS • ORAL DIAMOX • TRUSOPT • LATANOPROST • ALPHAGAN • COSOPT

  15. SURGERY • TRABECULECTOMY • NON PENETRATING SURGERY • ANTIMETABOLITES • RELEASABLE SUTURES • DIODE LASER

  16. NORMAL TENSION GLAUCOMA • IS IT PROGRESSIVE? • Hx OF MIGRAINE • HX OF VASOSPASM • DRUGS • SURGERY

  17. OCULAR HYPERTENSION • 10% PROGRESS IN 10 YRS • MONITER WITH FIELDS • TREAT IF IOP > 30mm • TREAT IF OTHER RISK FACTORS

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