Condition Info - BotMed Application

ConditionName

Open angle glaucoma

ConditionDescription

Symptoms

Usually asymptomatic in the beginning ;
Usually bilateral; 
Gradual loss of peripheral vision;
Red eye hard to palpation;
Walking into dark room precipitates pain because of pupillary dilation;

PhysicalFindings

Increased cup-to-disc ratio on phonoscope exam (cup ½ of the disc);
Pupil doesn’t react to light because it’s stuck;

ClinicalTests

Tonometry (measure intraocular pressure);
Elevated intraocular pressure;
Cup to disc ratio >0.3;

RiskFactors

Having high intraocular pressure;
Being over age 60;
Being black, Asian or Hispanic;
Family history of glaucoma;
Having certain medical conditions, such as diabetes, heart disease, high blood pressure and sickle cell anemia;
Having corneas that are thin in the center;
Having had an eye injury or certain types of eye surgery;
Taking corticosteroid eyedrops for a long time;
Other medications: Antihistamines, Decongestants, Antidepressants, Antispasmodics;

IsRedFlag

IsNPLEX

Consequence

Most common cause of blindness for blacks any age; 
More common, not an emergency, take years to increase pressure inside  the eye.

ProgressionFromCondition

TreatmentOptions

Laser trabeculoplasty

PharmOptions

Latanoprost , topical BB;
Pilocarpine;
IV mannitol (osmotically drains of fluid out);

WebLink

https://www.merckmanuals.com/professional/eye-disorders/glaucoma/primary-open-angle-glaucoma