Classification ° Primary glaucoma primary angle closure glaucoma (PACG) primary open angle glaucoma(POAg) ° Secondary glaucoma Congenital glaucoma 复旦大学附厲眼耳鼻喉科医院
Classification • Primary glaucoma – primary angle closure glaucoma (PACG) – primary open angle glaucoma (POAG) • Secondary glaucoma • Congenital glaucoma
Primary angle closure glaucoma e复具大学附
Primary angle closure glaucoma
Acute angle closure glaucoma Risk factors Age(50 year old) Race South-East Asian, Chinese, etc.) Gender(female) Refractive error(hyperopes) Family history 复旦大学附厲眼耳鼻喉科医院
Acute angle closure glaucoma • Risk factors – Age (>50 year old) – Race (South-East Asian, Chinese, etc. ) – Gender (female) – Refractive error (hyperopes) – Family history
Pathogenesis Anatomical predisposed eyes Short axial length, small cornea, shallow anterior chamber, narrow angle, thicker, anteriorly placed lens Peripheral iris bombe Pupillary block Precipitating factors Dim illumination Emotional stress Acute angle closure Drugs(anticholinergics adrenergic, systemic drugs 复旦大学附厲眼耳鼻喉科医院
Pathogenesis • Anatomical predisposed eyes – Short axial length, small cornea, shallow anterior chamber, narrow angle, thicker, anteriorly placed lens – Peripheral iris bombe – Pupillary block – Acute angle closure • Precipitating factors – Dim illumination – Emotional stress – Drugs (anticholenergics, adrenergics, systemic drugs）
复旦大学附厲眼耳鼻喉科医院