Glaurcroma
Studies
Pictures of glaucoma
Secondary Glaucoma
Fun stuff
100
What is the Goldmann equation?
BONUS (+200): Units for C?
(F-U)/C +PV
C -> microliters/minute/mmHG
100
Incidence of glaucoma in medication group and observation group in OHTS trial after 5 years? Must be within 0.2%
BONUS (+200): What is the dumbest statistic ever per Gehrig's opinion
BONUS (+200): Name 5 factors found in the OHTS trial associated with higher risk of developing glaucoma.
4.4 and 9.5
BONUS: Relative risk
BONUS: older age, increased CCT, increased c/d, higher baseline IOP, higher PSD on HVF
100
What is this associated with?
BONUS (+200): Give the eponym
NTG
BONUS: Drance
100
Patient presents with IOP 45 in the right eye and eye pain. Reports 2 other episodes in the last year. 1-2+ cell with KP, open angle. No history of cold sores or zoster. What does this patient possible have?
BONUS: What other topical medication could you consider if you think this is associated with an infectious cause?
Glaucomatocyclitic crisis (Posner-Schlossman)
BONUS: Topical ganciclovir
100
What baseball movie involves Kevin Costner in Iowa?
BONUS (+200): What is the primary quote from the movie?
Field of Dreams
BONUS: "If you build it, they will come."
200
IOP is 30. Patient has evidence of a cranial nerve 3 palsy. Name the two types of this disease.
BONUS: You have a 5 year old with a port-wine stain and GNAQ mutation. What is the physiologic reason for glaucoma?
Direct and indirect carotid cavernous fistula
BONUS: Trabecular dysgenesis (age is key)
200
In the CNGTS, what was the percent progression of patients in the observation group and treatment group respectively AFTER taking out cataract cofounder and performing secondary analysis?
BONUS: What systemic medication could the patient NOT be on to be a candidate for the study
35% and 12%
BONUS: beta-blocker or clonidine
200
What is this?
BONUS (+200): What is the iris configuration in patient's with this disease?
Zentmayer line or Schieie stripe.
BONUS: Concave
200
This type of glaucoma is an indication for vitrectomy.
BONUS: Why is it called this?
Ghost cell glaucoma
BONUS: RBC's lose intracellular hemoglobin
200
What actor is the main character in Footloose?
Kevin Bacon
300
Give the route of trabecular aqueous outflow starting from anterior chamber. Include the three subdivisions of the TM.
BONUS (+300): Name the 3 parts of the blood aqueous barrier
Uveal -> Corneoscleral -> Juxtacanalicular -> Schlemm canal -> collector channels -> aqueous veins -> episcleral veins -> superior ophthalmic vein -> cavernous sinus
BONUS: Endothelium of Schlemm's canal, iris vasculature, nonpigmented epithelium of the ciliary body
300
What were the treatments given in the EMGT? What percent of untreated and treated showed progression?
BONUS; Where was this study performed and what secondary glaucoma was prevalent?
Betaxolol and ALT. 62% and 45%
BONUS: Sweden, pseudoexfoliation
300
You do cataract surgery in the left eye and you get an AC hemorrhage with the para. What is the disease and what is this finding called?
BONUS (+300): What is non-viral infectious association?
Fuch's heterochromic iridocyclitis
BONUS: Toxoplasma
300
Patient presents with this and elevated IOP. Open angle and no other secondary cause found. What is the mechanism and the eponym for this type of OAG?
BONUS (+300): What could cause a secondary closed angle glaucoma in relation to this condition? Give 2
Photoreceptors clog the TM. Schwartz-Matsuo
BONUS: Silicone oil, Scleral buckle
300
When is Recko's birthday?
BONUS (+500): Where did Dr. Moore propose to his wife?
August 28th
BONUS: Warner Robins, Georgia
400
A patient comes in for a glaucoma consult. IOP 14/15. VA 20/20 OD, 20/30 OS. C/d 0.05 OD, 0.6 OS. S>>I thinning on RNFL OS. Inferior CVF defect OS. What is the likely mechanism of this patient's cupping OS? What clinical test would you perform to evaluate?
Remote NAION OS
HVF24-2
400
What was the QOL difference in the LiGHT trial between SLT and meds?
BONUS: Percent in SLT group not on meds after 36 months?
None
BONUS: 75%
400
What disease may this be if IOP is elevated and patient has history of globe? How can you tell?
BONUS (+200): What is lodged in the angle in hemolytic glaucoma?
Phacoantigenic glaucoma. KP's
BONUS: Macrophages
400
What type of glaucoma are we worried about here?
BONUS (+400): Can a PGY-2 tell me what may have increased risk for this condition? +500 if a PGY-2 can tell me what Waco ophthalmogist likely did the surgery?
UGH
BONUS: Single piece in the sulcus. Beau Swann
400
Where did Nick play college baseball?
BONUS (+400): What is the mascot?
Florida Southern
BONUS: Mocassins
500
What disease does this patient have assuming this is unilateral? Name 3 types.
BONUS (+300): What disease if this was bilateral?
ICE -> iris nevus, Chandler, essential iris atrophy
BONUS: PPMD
500
What does AGIS 7 say?
BONUS (+300): In the UKGTS, why was the study considered novel?
IOP of <14 within 18 months and IOP<18 afterward was associated with less visual field progression in post-incisional glaucoma surgery eyes.
BONUS: Short study period with grouping of HVF at beginning and end
500
Name 5 ways that this and similar pathologies can cause glaucoma. (Half credit for 4)
BONUS: 3 tumors noted in book associated with secondary glaucoma in kids
Direct invasion
Angle closure from anterior displacement of ciliary body
intraocular hemorrhage
NVA
Tumor cells in meshwork
BONUS: RB, juvenile xanthogranuloma, medulloepithelioma
500
Assuming this is not synechiae, what would your management algorithm be?
LPI, then if no improvement can consider iridoplasty
500
What musical was made in 1978, features the "Pink Ladies" and Olivia Newton-John, and has a terrible moral when you really think about it?
Grease