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DEFINITION POAG is a chr!ic" #r$ressi%e disease &ha& ms& '&e! #rese!&s (
charac&eris&ic
#&ic !er%e )ON* dama$e"
re&i!a+ !er%e ,-er +a.er )NFL*de'ec&s" a!d
s/-seq/e!& %is/a+ ,e+d )F* +ss
The mari&. ' #ers!s (i&h POAG ha%e e+e%a&ed i!&rac/+ar #ress
)21 mm$*
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TEMINOLOG Ocular Hipertention
sme (hse IOP +e%e+s are s&a&is&ica++. a-!rma+ )21 mm $* ha%e%ide!ce ' ON dama$e r +ss ' %isi! '/!c&i!
Normal Tension Glaucoma
OAG i! (hich &he IOP is -e+( a cer&ai! +e%e+"&.#ica++. 21 mm $
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ETIOLOG Us/a++. res/+&s 'rm decreased outfow ' aq/e/s 6/id 'rm &h
Th/$h !& (e++ /!ders&d" &his e+e%a&i! i! IOP is &h/$h& & -e
resistance (i&hi! &he &ra-ec/+ar mesh(r87
The e&i+$. ' $+a/cma has -ee! descri-ed as
mechanical or vascular.
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EPIDEMIOLOGG+a/cma is the second leading cause oblindness i! &he (r+d )s/r#assed !+. -.ca&arac&s" a re%ersi-+e c!di&i!*7
Mre &ha! 3 million #e#+e are bilaterallyblind 'rm POAG (r+d(ide" a!d mre &ha! 2mi++i! #e#+e (i++ de%e+# POAG each .ear7
95 : case ' G+a/cma is POAG
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I;< FACTO
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COMMON ;IGN Pa&ie!&s i! &he mi+d r mdera&e s&a$es ' OAG seldom have sym
r cm#+ai!&s7
=he! &he disease #r$resses & &he se%ere s&a$e" sme #a&ie!&s m#rese!& (i&h s.m#&ms r cm#+ai!&s re+a&ed & restricted V orreduced vision
G+a/cma #a&ie!&s> mre cmm! s.m#&ms" cm#+ica&i!s" a!dcm#+ai!&s are asscia&ed (i&h &he side e?ec&s" i!c!%e!ie!ce" a!medications & &rea& &he disease
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!"#$% &!T!'T(ON "N)#!V!NT(ON
#re%e!&i!$ OAG )@*
#redic& (h (i++ de%e+# &he disease +a&er i! Li'e )@*
The #rese!ce ' cer&ai! c/+ar" s.s&emic" a!d $e!era+ ris8 'ac&rs
&he #r-a-i+i&. &ha& a #ers! (i++ de%e+# $+a/cma7
Am!$ &hese ris8 'ac&rs" !+. IOP ca! -e a+&ered T!me&r.
O#&ic !er%e ass
0 #erce!& )41:
Perime&r.
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DIAGNO;I; I!i&ia+ G+a/cma e%a+/a&i!
a7 Pa&ie!& is&r.
-7 Oc/+ar E@ami!a&i!
is/a+ ac/i&.
P/#i+
Bimicrsc#.
cr!ea a!d s&r/c&/res ' &he a!&erir a!d #s&erir cham-ers"
-&h -e're a!d a'&er #/#i++ar. di+a&i!
T!me&r.
Pach.me&r.
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GONIO;COP Meas/re
iridcr!ea+ a!$+e
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TEATMENT Tim++ O'&ha+mic
1 $&& a?ec&ed e.e)s* BID 0725:" i' !&
e?ec&i%e
i!crease 075: 1 $&& BID
E 'rm/+a&i! 1 $&& qDa.
Pi+car#i!e
;+/&i! A##+. 12 $&& /# & qhrad/s& c!ce!&ra&i! a!d 'req/e!c.as !ecessar. & c!&r+ IOP
Ge+ A##+. 075i!ch ri--! i! +(erc!/!c&i%a+ sac ' a?ec&ed e.e)s*
q;
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