FREE Glaucoma Management Questions and Answers Flashcards
6 cards from real Board Certified Ophthalmologist practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 FREE Glaucoma Management Questions and Answers flashcards as text
A patient with primary open-angle glaucoma on maximum tolerated medical therapy continues to show progressive visual field loss. What is the most appropriate next step in management?
Answer: Trabeculectomy
Trabeculectomy is indicated when medical therapy fails to control progressive glaucomatous damage.
Which class of glaucoma medications works by decreasing aqueous humor production through inhibition of carbonic anhydrase?
Answer: Dorzolamide
Dorzolamide is a topical carbonic anhydrase inhibitor that reduces aqueous humor production.
A 55-year-old presents with acute angle-closure glaucoma. After initial medical management lowers the IOP, what definitive treatment should be performed?
Answer: Laser peripheral iridotomy
Laser peripheral iridotomy is the definitive treatment for acute angle-closure glaucoma to prevent recurrence.
Which visual field defect is most characteristic of early glaucomatous damage?
Answer: Nasal step
A nasal step, where there is a difference in sensitivity across the horizontal midline nasally, is a classic early glaucomatous field defect.
What is the primary mechanism of action of selective laser trabeculoplasty (SLT) in lowering intraocular pressure?
Answer: Stimulating biological remodeling of trabecular meshwork cells
SLT selectively targets pigmented trabecular meshwork cells, stimulating a biological response that improves aqueous outflow.
In a patient with pseudoexfoliation glaucoma, which finding on gonioscopy is most characteristic?
Answer: Sampaolesi line
A Sampaolesi line, which is pigment deposited anterior to Schwalbe's line, is characteristic of pseudoexfoliation glaucoma.