EENT - eye 0.0 / 5 ? PharmacyENTUniversityNone Created by: RscottqubCreated on: 07-01-20 15:38 Xanthelamata yellow plaques in the periorbital region. composed of lipids . send for chloestrol level check 1 of 28 treatment of xanthelamata surgery to remove 2 of 28 Glaucoma group of diseases resulting in optic nerve damge and visionary loss. 3 of 28 main cause of glaucoma increase in IOP , weak optic nerve 4 of 28 normal IOP 10-15mm Hg 5 of 28 raise IOP >21mmHg 6 of 28 types of glaucoma (4) secondary, cogenital, Angle closure* , chronic angle open* 7 of 28 Chronic angle open glaucoma COAG , aka primary glaucoma 8 of 28 COAG angle open, but aq humour outflow is obstructed resulting in increase IOP and then damge to optic nerve 9 of 28 COAG is the most common type 10 of 28 COAG affects M+F equally and normally both eyes are effected 11 of 28 Symtoms at 1st symptomless- 40% sight may be lost before many ppl seek help. Then tunnel vision 12 of 28 optic disc changes in COAC cupping or pallor can occur 13 of 28 COAG risk factors 1. racial background 2. age 3. severe shortsighntness 4. high IOP 5. fam history 14 of 28 COAG treatment 1st line prostaglandin analogues or prostamides (bitmatoprost) 15 of 28 things that may occur by using prostaglandin analogues or prostamides lengthening,thickening and darkening of eyelashes . Brown pigmentation of iris 16 of 28 2nd line treatment no 1 B blockers i.e timolol . These wore by reducing production of aq humour 17 of 28 2nd line treatment no 2 sympathomimetics - lower IOP by reducing inflow and increasing outflow of aq hum 18 of 28 2nd line no 3 carbnonic anhydrase inhibitors , brinzolomide - decrease amount of aq humour produced 19 of 28 if COAG treatment by drugs fails laser treatment or surgey 20 of 28 Angle closure glaucoma ACG- angle closed which blocks outflow of aq humour preventing drainage 21 of 28 symptoms of ACG painful eyes, impaired vision, headache, nausea and vom 22 of 28 ACG risk factors increasing age , race, female, fam history 23 of 28 ACG treatment classed as a medical emergency. 1drop pilocarpine or acetazolamine 500mg tab . laser surgery 24 of 28 medcines to avoid antihistamines, anticholinergens , sympathomimetics 25 of 28 cattaracts clouded lens 26 of 28 ARMD age related macular degeneration 27 of 28 macula central part of retina , loss of central vision 28 of 28
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