Introduction to Glaucoma

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  INTRODUCTION TO GLAUCOMA ã  Anatomy 1. Aqueous outflow ã  Physiology 3. Tonometers 2. Classification of secondary glaucoma 4. Gonioscopy 5. Anatomy of retinal nerve fibres 6. Optic nerve head 7. Humphrey perimetry  Aqueous outflow Anatomy a - Uveal meshwork b - Corneoscleral meshwork c - Schwalbe line d - Schlemm canal e - Collector channels f - Longitudinal muscle of ciliary body g - Scleral spur c - Iris outflow a - Conventional outflow b - Uveoscleral outflow Physiology  Classification of secondary glaucomas a.  Pre-trabecular   - membrane over trabeculum Open-angle  b.  Trabecular   - ‘clogging up’ of trabeculum  c.  With pupil block - seclusio pupillae and iris bombé Angle-closure  d.  Without pupil block - peripheral anterior synechiae   c d a b  Tonometers Goldmann Contact applanation Perkins Portable contact applanation Pulsair 2000 (Keeler) Air-puff Schiotz Portable non-contact applanation Non-contact indentation Contact indentation Tono-Pen portable contact applanation


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