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Вуз:

Ростовский Государственный Медицинский Университет

Предмет:

Медицина общая

Файл:

Illustrated Tutorials in Ophthalmology Kanski, Bolton 2001

.pdf

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28.03.2026

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Pigmentary glaucoma

•Bilateral trabecular block open-angle glaucoma

•Typically affects young myopic males

•Increased incidence of lattice degeneration

Krukenberg spindle and very	Fine pigment granules on
deep anterior chamber	anterior iris surface

Mid-peripheral iris	Trabecular hyperpigmentation
atrophy

Causes of neovascular glaucoma

•Common, secondary angle-closure glaucoma without pupil block

•Caused by rubeosis iridis associated with chronic, diffuse retinal ischaemia

Ischaemic central retinal vein	Long-standing diabetes (common)
occlusion (most common)

Central retinal artery	Carotid obstructive
occlusion (uncommon)	disease (uncommon)

Signs of advanced neovascular glaucoma

Severely reduced visual	Severe rubeosis iridis
acuity, congestion and pain

Distortion of pupil	Synechial angle closure
and ectropion uveae

Treatment options of neovascular glaucoma

Topical

•Atropine and steroids to decrease inflammation

•Beta-bockers

Panretinal photocoagulation	Artificial filtering devices
- in early cases	- in very advanced cases

Cyclodestructive procedures	Retrobulbar alcohol injection
- to relieve pain	- to relieve pain

Inflammatory glaucomas

Angle-closure with pupil block

•Caused by seclusio pupillae

•Anterior chamber is shallow

Inflammatory glaucomas

Angle-closure without pupil block

•Caused by progressive synechial angle closure

•Anterior chamber is deep

Phacolytic glaucoma

Pathogenesis

Signs

	Treatment
•	Control IOP medically
•	Control IOP medically	•	Deep anterior chamber
		•	Deep anterior chamber
•	Remove cataract	•	Floating white particles

Post-traumatic angle recession glaucoma

Pathogenesis

Signs

Blunt traumatic damage to	Irregular widening of ciliary body band
trabecular meshwork

Classification of Iridocorneal Endothelial Syndrome

•Proliferation of abnormal corneal endothelial cells

•Typically affects young to middle aged women

•Three syndromes with certain overlap

1.Progressive iris atrophy

•Iris atrophy in 100%

2.Iris naevus (Cogan-Reese) syndrome

•Iris atrophy in 50%

3.Chandler syndrome

•Iris atrophy in 40%

•Corneal changes predominate

Progressive iris atrophy

Progressive stromal iris atrophy


	Broad-based PAS	Displacement of pupil
	Broad-based PAS	towards PAS
		towards PAS

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