Coupon Accepted Successfully!


Treatment of Glaucoma

  1. Medical Therapy
    1. Topical antiglaucoma drugs
      1. Adrenergic Antagonists
        1. Beta blocker – (Non selective)
          • Timolol        
          • Levobunolol
        2. Betaxolol (Beta1 selective)
      2. Adrenergic Agonists -
        1. Beta 2Selective Agonist
          • Brimonidine
      3. Miotics (direct parasympathomimetic)
        1. Pilocarpine
      4. Prostaglandin: Analogues
        1. Latanoprost (PG F2 agonist), Bimatoprost, Travoprost, Tafluprost (It is Preservative free)
        3. L<T<B
        4. L=0.003%
        5. T=0.004%
        6. B=0.03%
      5. Topical Carbonic Anhydrase Inhibitor -
        1. Dorzolamide, Brinzolamide
    2. Systemic antiglaucoma drugs
      1. Carbonic Anhydrase Inhibitors - Acetazolamide
      2. Hyperosmotic Agents -
        1. Mannitol
        2. Glycerol
    3. Laser therapy
      1. Argon Laser Trabeculoplasty:  Laser burn to trabeculum at the junction of the pigmented and non-pigmented parts. In OAG
      2. Nd: YAG laser iridotomy. In ACG
    4. Surgical    
      1. Trabeculectomy- Creation of new channel for aqueous outflow between the anterior chamber and
      2. Sub Tenon’s space.
      3. Antimetabolites In Trabeculectomy-Used in cases in which there is high risk of failure of the surgical procedure.
        • 5-FU                            
        • Mitomycin C

Extra Edge: Artificial filtering Shunts
Used in cases where conventional filtering procedure has failed or likely to fail. These are plastic devices which create a communication between the anterior chamber and sub-Tenon’s space.
a.  Krupin-Denver Valve →Valved           
b.  Molteno Implant Non valved
c.  Scholcet Ismplant                        
d.  Ahmed Glaucoma Valve (AGV)  valved
e.  Baerveldt implant  non valved

Intractable glaucoma characteristically occurs due which one of the following? (AIPG 08)
A. Diffuse iris melanoma                                                                    
B. Anterior iris melanocyte proliferation
C. Posterior uveal melanocyte proliferation                                  
D. Lens enlargement
Ans. A.  Diffuse iris melanoma

Test Your Skills Now!
Take a Quiz now
Reviewer Name