Page 171 - 2021 IDMT Digital

ACUTE ANGLE CLOSURE GLAUCOMA
Introduction:
• $FXWH DQJOH FORVXUH JODXFRPD LV D VXGGHQ QDUURZLQJ RI WKH DQJOH RI WKH DQWHULRU
FKDPEHU DQ RFXODU XUJHQF\ WKDW FDQ UDSLGO\ EHFRPH DQ RFXODU HPHUJHQF\
• 7KLV SUREOHP RFFXUV PRVWO\ LQ ROGHU SDWLHQWV SDUWLFXODUO\ WKRVH ZKR DUH SUH GLVSRVHG
IHPDOHV IDUVLJKWHG SHRSOH $VLDQ

Subjective:
• 6LJQV DQG 6\PSWRPV
o $JH RYHU
o ([WUHPH H\H SDLQ IURQWDO +$
o %OXUUHG YLVLRQ
o 0D\ H[SHULHQFH D FRORUHG KDOR HIIHFW DURXQG OLJKWV
o 1DXVHD DQG YRPLWLQJ
• )RFXVHG +LVWRU\
o ,V SDLQ VKDUS RU GXOO
o 3KRWRSKRELD
o 'LVFKDUJH
o 2QVHW VXGGHQ RU LQVLGLRXV
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH YLWDOV LQFOXGLQJ H\H FKDUW
o (\H ZLOO EH UHG
o &RUQHD ZLOO EH FORXG\
o 3XSLO ZLOO EH PRGHUDWHO\ GLODWHG DQG IL[HG
o (\H ZLOO EH KDUG WR SDOSDWLRQ
o 2QH H\H DIIHFWHG RQO\
ƒ ,I ERWK H\HV DUH SDLQIXO FRQVLGHU GLIIHUHQW GLDJQRVLV
Assessment:
• 'LIIHUHQWLDO
o ,ULWLV H\H ZLOO QRW EH KDUG WR SDOSDWLRQ
o &RQMXQFWLYLWLV SUHVHQFH RI GLVFKDUJH
o )RUHLJQ ERG\ LGHQWLILFDWLRQ RI IRUHLJQ ERG\ YLD H[DP
o 'U\ H\H XVXDOO\ ELODWHUDO FRQVLGHU HQYLURQPHQW
o 6XEFRQMXQFWLYDO KHPRUUKDJH UHFHQW KDUG FRXJKLQJ RU VQHH]LQJ JHQHUDOO\ DEVHQW
RI SDLQ RU YHU\ PLOG LUULWDWLRQ
Plan:
• ,PPHGLDWH (9$& LV ZDUUDQWHG
• 0HGLFDWLRQV
o 7RSLFDO H\H GURSV DV UHFRPPHQGHG E\ RSKWKDOPRORJ\ RSWRPHWU\
o $FHWD]RODPLGH 'LDPR[ LV GUXJ RI FKRLFH UXOH RXW VXOID DOOHUJ\
ƒ 5[ WZR PJ WDEV E\ PRXWK WKHQ (9$&

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