Glaucoma Diagnosis and Management Flashcards
7 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 7 Glaucoma Diagnosis and Management flashcards as text
A young myopic man has Krukenberg spindle, mid-peripheral radial iris transillumination defects, and a concave peripheral iris. The underlying mechanism is:
Answer: Reverse pupillary block with iris-zonule rubbing
In pigment dispersion syndrome, reverse pupillary block bows the iris posteriorly against zonules, releasing pigment.
In neovascular glaucoma secondary to proliferative diabetic retinopathy, the most important step addressing the underlying cause is:
Answer: Panretinal photocoagulation with anti-VEGF therapy
Anti-VEGF gives rapid regression and PRP reduces the ischemic VEGF drive long term.
An elderly patient with a hypermature cataract presents with acute IOP elevation, an open angle, and iridescent particles in the anterior chamber. Definitive treatment is:
Answer: Cataract extraction
Phacolytic glaucoma results from high-molecular-weight lens proteins obstructing the meshwork and is cured by removing the lens.
Recurrent unilateral episodes of markedly elevated IOP with mild anterior chamber cells and fine KPs in an otherwise healthy adult have been associated with which pathogen?
Answer: Cytomegalovirus
Posner-Schlossman syndrome (glaucomatocyclitic crisis) is frequently associated with CMV in aqueous samples.
A middle-aged woman with unilateral corneal edema, 'beaten-metal' endothelium, high peripheral anterior synechiae, and minimal iris changes most likely has:
Answer: Chandler syndrome
Chandler syndrome is the ICE variant dominated by corneal edema with mild iris findings.
After starting topical prednisolone acetate, steroid-induced IOP elevation typically appears within:
Answer: 2 to 6 weeks
Steroid response generally manifests a few weeks after initiation, though it can occur at any time.
After trabeculectomy, a patient has uniformly shallow central and peripheral anterior chamber, elevated IOP, and a patent iridotomy. Choroidal effusion is excluded. First-line treatment is:
Answer: Cycloplegics plus aqueous suppressants
Aqueous misdirection (malignant glaucoma) is treated initially with cycloplegia to pull the lens-iris diaphragm back plus aqueous suppression.