Glaucoma clinical presentation

Compare and contrast the clinical presentation of chronic open-angle glaucoma and acute angle-closure glaucoma. 

Clinical Presentation of Primary Open-Angle Glaucoma ... 

A 65-year-old African-American female with a history of diabetes, mild intermittent asthma, and hypertension presents to your clinic for her yearly check-up. She states that she is concerned about losing her eyesight because her sister has started losing her vision from glaucoma. She states that she has not noticed any changes in her vision. 

JC is a 56-year-old African-American man who presents to the eye clinic for a glaucoma follow-up visit. lOP = 28 mm Hg OD and 31 mm Hg OS. JC is currently on latanoprost and brimonidine. JC admits to poor compliance with his eyedrops, stating that they "burn my eyes and make them very red and itchy all day." Which of the following is the best management for JC ... 

Pilocarpine-induced miosis has very little value in managing glaucoma in the horse and may increase lOP (van der Woerdt et al 1998). Miotics may also potentiate the clinical signs of uveitis where these are present. 

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