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2011 Series -  September 13, 2011 Lecture 16 of 52  NEXT»

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QOW_091311A QOW_091311B

This 38-year-old man reports episodes of blurred vision in both eyes after playing basketball. He denies any medical and ocular history and has no family history of glaucoma. Refraction is OD and OS +0.50.
Slit-lamp findings show pigment on the endothelium and also demonstrates rare pigmented particle in the anterior chamber in both eyes.

IOP: OD = 27 mmHg; OD = 29 mmHg
C/D: OD = .75; OD = .80
Visual field within normal limits in both eyes.

1. What diagnosis best describes this case:

a. chronic simple glaucoma
b. congenital glaucoma
c. iris nevus syndrome with elevated intraocular pressure
d. pigmentary glaucoma
e. abortive albinotic glaucoma

2. The mechanism for pressure elevation is:

a. decrease in aqueous outflow
b. increased aqueous production
c. posterior synechia
d. development of Kurkenberg spindles
e. (b) and (c)

3. Treatment and follow up includes:
a. prostaglandin analogs
b. pilocarpine
c. laser trabeculoplasty
d. visual field and nerve fiber layer testing
e. all of the above

For answers to the above, click here on or after September 20, 2011.

 

 


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