secondary glaucoma
TRANSCRIPT
Secondary glaucomaSecondary glaucomaassociated with lens disordersassociated with lens disorders
glaucoma capsulareglaucoma capsulare
Pseudoexfoliation Pseudoexfoliation syndromesyndrome
Exfoliative materialExfoliative material Glaucoma due to Glaucoma due to
deposits of fibrillar deposits of fibrillar basement membrane basement membrane material on TBMmaterial on TBM
Treatment as in POAGTreatment as in POAG
Secondary glaucomaSecondary glaucomalens disorderslens disorders
phacomorphic glaucomaphacomorphic glaucoma
Swollen intumescent Swollen intumescent lens causes pupillary lens causes pupillary block block
Control of IOP followed Control of IOP followed by lens extractionby lens extraction
Secondary glaucomaSecondary glaucomalens disorderslens disorders
phacolytic glaucomaphacolytic glaucoma
Due to micro leak of lens Due to micro leak of lens protein in hypermature / protein in hypermature / mature cataractmature cataract
Lens particle loaded Lens particle loaded macrophages block the macrophages block the TBMTBM
Control of IOP and lens Control of IOP and lens extractionextraction
Secondary glaucomaSecondary glaucomalens disorderslens disorders
phaco anaphylacticphaco anaphylactic
Associated with latent Associated with latent period during which period during which sensitization to lens sensitization to lens protein occursprotein occurs
Seen more commonly in Seen more commonly in young patientsyoung patients
Control of IOP and uveitisControl of IOP and uveitis
Secondary glaucomaSecondary glaucomalens disorderslens disordersectopia lentisectopia lentis
Secondary glaucoma due Secondary glaucoma due to congenital, traumatic or to congenital, traumatic or spontaneous lens spontaneous lens subluxation or dislocation.subluxation or dislocation.
Mechanism: pupillary Mechanism: pupillary block, angle closure or block, angle closure or phacolytic phacolytic
Secondary glaucomaSecondary glaucomapigmentary glaucomapigmentary glaucoma
Young myopic patientsYoung myopic patients Secondary open angle Secondary open angle
glaucoma due to pigmentary glaucoma due to pigmentary obstruction of TBMobstruction of TBM
Krukenburg’s spindleKrukenburg’s spindle Retroillumination: radial spoke Retroillumination: radial spoke
like defects in the irislike defects in the iris Treatment as in POAGTreatment as in POAG
Secondary glaucomaSecondary glaucomaNeovascular glaucomaNeovascular glaucoma
Rubeosis iridis associated with Rubeosis iridis associated with glaucomaglaucoma
Seen in conditions:Seen in conditions:Diabetic retinopathyDiabetic retinopathyCRVOCRVOSickle cell retinopathySickle cell retinopathyROPROP
Treatment: Control of IOP, Treatment: Control of IOP, photocoagulation with Trabphotocoagulation with Trab
Secondary glaucomaSecondary glaucomaneovascularisationneovascularisation
Secondary glaucomaSecondary glaucomainflammatoryinflammatory
Secondary glaucomaSecondary glaucoma uveitisuveitis
Due to plasmoid aqueous and Due to plasmoid aqueous and cells obstructing the anglecells obstructing the angle
In chronic due to posterior In chronic due to posterior synechia/goniosynechiasynechia/goniosynechia
TreatmemtTreatmemtcontrol of IOPcontrol of IOPcontrol of uveitiscontrol of uveitis
Secondary glaucomaSecondary glaucomauveitisuveitis
Secondary glaucomaSecondary glaucomaafter cataract surgeryafter cataract surgery
Secondary glaucomaSecondary glaucomacorneal ulcercorneal ulcer
Secondary glaucomaSecondary glaucomacataract surgerycataract surgery
epithelial downgrowthepithelial downgrowth
Secondary glaucomaSecondary glaucomacataract surgerycataract surgery
Secondary glaucomaSecondary glaucomacataract surgerycataract surgerypupillary blockpupillary block
Secondary glaucomaSecondary glaucomatraumatic hyphematraumatic hyphema
Secondary glaucomaSecondary glaucomatraumatic lens dislocationtraumatic lens dislocation
Secondary glaucomaSecondary glaucomaSturge-Weber syndromeSturge-Weber syndrome
Secondary glaucomaSecondary glaucomahigh episcleral venous pressurehigh episcleral venous pressure
Secondary glaucomaSecondary glaucomahyperthyroidhyperthyroid
Secondary glaucomaSecondary glaucomahigh episcleral venous pressurehigh episcleral venous pressure
Secondary glaucomaSecondary glaucomaSteroid inducedSteroid induced
Secondary open angle glaucomaSecondary open angle glaucoma Usually following topical therapy in high responders (marked rise of Usually following topical therapy in high responders (marked rise of
IOP after about 6 wks of steroid therapy), occasionally occurs after IOP after about 6 wks of steroid therapy), occasionally occurs after systemic therapy alsosystemic therapy also
Deposition of mucopolysaccharides in the TBMDeposition of mucopolysaccharides in the TBM Typically resembles POAGTypically resembles POAG Judicious use of steroids is advocated to avoid above complicationJudicious use of steroids is advocated to avoid above complication Discontinue steroids, IOP will get down in 10days-4 wks periodDiscontinue steroids, IOP will get down in 10days-4 wks period Timolol maleate may be used if requiredTimolol maleate may be used if required Surgery in intractable casesSurgery in intractable cases
Secondary glaucomaSecondary glaucomacauses of high episcleral venous pressurecauses of high episcleral venous pressure
Secondary glaucomaSecondary glaucoma venous drainagevenous drainage
Secondary glaucomaSecondary glaucomaICE syndromeICE syndrome
Secondary glaucomaSecondary glaucomaInflammatory glaucomaInflammatory glaucoma