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Case 5 – 2025
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Case 5 – Myopia and Glaucoma
1 Examination
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Question 1: Describe the optic nerves and then discuss changes in optic nerve appearance occurring in myopia and glaucoma.
Question 2: See the OCT of the RNFL (Figure 2). What is the significance of small optic nerves in glaucoma assessment?
Question 3: Describe the visual fields
Question 4: OCT can objectively and reliably estimate superior and inferior RNFL loss commonly seen in glaucoma. Discuss the role of OCT of RNFL in the management of glaucoma with myopia.
Question 5: Discuss the patient’s OCT GCC analysis results (Figure 3).
Question 6: Describe the characteristics of visual field defects in myopic glaucoma.
Question 7: Are myopes at increased risk of developing glaucoma?
Question 8: How does the family history of glaucoma influence clinical management?
Question 9: How does myopia increase the risk of developing open-angle glaucoma and what are potential mechanisms?
Question 10: How does the degree of myopia affect the risk of glaucoma?
References and Recommended reading
Case 5 – Examination Intro
Case 5 – Examinations – 2025
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