Glaucoma diagnosis

Kaufman PL, Gabelt B, Tian B, Liu X. Advances in glaucoma diagnosis... 

GLAUCOMA Before Hierapy for glaucoma is started, Hie primary healHi care provider thoroughly examines Hie ey The nurse reviews Hie primary health care provider s diagnosis and comments, takes a general patient health... 

A variety of disorders may lead to rapid, painless, monocular or binocular vision loss. This may include central retinal artery occlusion, acute narrow-angle glaucoma, trauma, or others. The differential diagnosis is complex and needs to be undertaken by an emergency department or ophthalmologist.9... 

Patients with marked anxiety, tension, and agitation, because the drug may aggravate these symptoms hypersensitivity to methylphenidate or other components of the product patients with glaucoma, motor tics, or a family history or diagnosis of Tourette s syndrome during treatment with monoamine oxidase inhibitors (MAOIs), and also within a minimum of 14 days following discontinuation of an MAOl (hypertensive crises may result). 

Marked anxiety, tension, and agitation (the drug may aggravate these symptoms) hypersensitivity to methylphenidate or other components of the product glaucoma motor tics or a family history or diagnosis of Tourette syndrome. 

Contraindications Diagnosis orfamily history of Tourette s syndrome glaucoma history of marked agitation, anxiety, or tension motor tics use within 14 days of MAOIs... 

It is approved for mydriasis in ocular examination and surgery and for the early diagnosis of glaucoma. 

Intravitreal triamcinolone injection is safe and effective for cystoid macular edema caused by uveitis, diabetic maculopathy, and central retinal vein occlusion, and for pseudophakic cystoid macular edema. Potential risks include glaucoma, cataract, retinal detachment, and endophthalmitis. Infectious endophthalmitis is extremely rare when appropriate sterile technique is practised. Seven patients developed a clinical picture simulating endophthalmitis after intravitreal injection of triamcinolone (71). The authors believed that this effect was a toxic reaction to the injected material and explained that the differential diagnosis of infectious endophthalmitis in eyes that have been injected with triamcinolone under sterile conditions includes a sterile toxic endophthalmitis that requires careful monitoring, perhaps every 8-12 hours, in order to determine whether the inflammation is worsening or improving. Resolution occurs spontaneously, and in the absence of eye pain unnecessary intervention can be avoided. 

In the treatment of wide-angle glaucoma In the diagnosis of myasthenia gravis... 

The doctor made a diagnosis of an acute attack of closed-angle glaucoma, as a result of his narrow drainage angles and the probable exposure to a mydriatic agent. 

The diagnosis of open-angle glaucoma is confirmed by the presence of characteristic optic disk changes and visual field loss, with or without increased lOP. Normal tension glaucoma refers to disk changes, visual field loss, and lOP of less than 21 mm Hg. Ocular hypertension refers to lOP of more than 21 mm Hg without disk changes or visual field loss. 

In acute angle-closure glaucoma, acetazolamide is often administered soon after the diagnosis is made. Use of acetazolamide in the management of acute angle-closure... 

Goldberg ME The diagnosis and treatment of secondary glaucoma after hyphema in sickle cell patients. Am J Ophthalmol 1979 87 43-49. 

CCT as a Function of Race, Age, and Disease. Average CCT varies with race (Box 34-1), age, and diagnosis. Whites, Chinese, Hispanics, and Filipinos tend to have comparable CCTs. Among the Asian races, Mongolians have the thinnest CCT, whereas the Japanese have thinner corneas than Chinese and Filipinos. African-Americans, patients with glaucoma, and older patients tend to have thinner corneas. Patients with ocular hypertension tend to have thicker corneas. 

Stamper RL, Lieberman MF, Drake MV. Becker-Shaffer s diagnosis and therapy of the glaucomas, ed. 7. St. Louis, MO Mosby, 1999 424. 

A standard comprehensive eye examinadon is performed on the inidal visit. If any visual field or opdc nerve changes consistent wdth glaucoma are present, addidonal appropriate testing should be done to establish a diagnosis. 

A 50-year-old woman with chronic renal insufficiency treated with acetazolamide for simple glaucoma developed confusion, cerebellar ataxia, and metabolic acidosis 2 weeks after starting to take aspirin for acute pericarditis (30). A diagnosis of salicylism was made despite low serum salicylate concentrations. 

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