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Case 6 – 2025
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Case 6 – Primary open angle glaucoma
1 Examination
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Question 1: Describe the disc photos and OCT and how does the optic nerve appearance support a diagnosis of gaucoma (Figure 1).
Question 2: Describe the visual field and discuss how the glaucoma hemifield test is calculated and its significance of MD and PSD, a(Figure 3).
Question 3: Describe the OCT of the macula and ganglion cell complex (Figures 4-5). How do they aid diagnosis of glaucoma?
Question 4: Describe the components of a routine glaucoma assessment and what one would define as a glaucoma suspect.
Question 5: What is an unusual features about her presentation and outline what are the classic visual field defects associated with glaucoma?
Question 6: At diagnosis, she was provided with two therapeutic options: Latanoprost 0.005% (Hysite) eye drops or selective laser trabeculoplasty (SLT). What is the rationale for offering SLT?
Question 7: The patient declined SLT and commenced latanoprost 0.005% at night to the left eye daily and once or twice a week to the right eye. What is the mechanism of action of latanoprost and what are the side-effects?
Question 8: What are the factors contributing to non-compliance and how can compliance be improved?
Question 9: If second line medical therapy was to be considered with a beta-blocker- what would be the rationale for betoptic (betaxolol)?
Question 10: What are the indications for glaucoma surgery in this patient?
Case 6 – Examination Intro
Case 6 – Examinations – 2025
References and Recommended reading
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