Lec. 12: Secondary OAG

What syndromes have dispersion of pigment on endothelium?

XFS and pigment dispersion syndrome 

Name the syndromes that show transillumination defects

XFS and pigment dispersion syndrome

What regions of anterior chamber do you not see pigment deposit in pigmentary glaucoma?

Corneal Stroma

What is Sampaolesi’s line?

A pigmented schwalbe’s line 

What are iris features in pigment dispersion syndrome?

TID in the periphery 

Name the secondary glaucoma that has high fluctuation in IOP?

XFS & pigment dispersion syndrome 

Name the three types of lens induced glaucoma?

Pick all three

What are various mechanisms for ocular tumors causing glaucoma?

All of the above

What are various mechanisms for ocular inflammation causing glaucoma?

I think all

Which of the following is not elevated venous pressure seen as a feature in the conjunctiva?

Blanch eye

What gonioscopic feature may indicate elevated episcleral venous pressure?

Blood in schlemm’s canal 

What features can not be seen in eyes with non-penetrating injury?

Bacterial conjunctivitis

Which class of drug will not work in eyes with angle recession?

Miotics like pilocarpine 

Usually how many weeks does it take for an IOP to increase in a steroid responder?

Usually takes two weeks for spike to occur but durezol (bc it’s so potent) takes a week 

Can systemic administration of steroid cause a raise in IOP?

Yes but is to a lesser degree than topical 

Usually does topical administration of steroid have a greater likelihood of showing a steroid response and increased IOP than systemic administration?

They are bc they directly reaching the TM 

What is the mechanism of IOP raise in neovascular glaucoma?

Both

What is not one of the most common causes of neovascularization of angle?

Aging

What secondary glaucoma has hammer silver appearance of endothelium?

Chandler syndrome 

What is the cause of haloes in ICE syndromes?

Bc of corneal edema due to abnormal endothelial pumps 

What percentage of ICE syndrome develop glaucoma?

50%

What are the characteristic features of chandler syndrome?

All of the above

What is not a characteristic features of progressive iris atrophy ICE syndrome?

Hammer silvered endothelial changes

What is not a feature of Cogan-Reese syndrome?

Severe iris atrophy

What IOP levels are seen usually in Glaucomaticyclitic crisis?

40-60 mmHg

What is not a features of Glaucomaticyclitic crisis (Posner-Schlossman Syndrome)?

Bilateral

What is the best surgical course of action in a phakic patient that has aqueous misdirection syndrome?

Extraction of the lens and placement of an IOL

List the signs and symptoms of Aqueous misdirection syndrome?

PICK ALL 🙂