Download - Glaucoma de angulo cerrado
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GLAUCOMA
UNC
Cátedra de Oftalmología
HNC
Dr. Marcos Cendali
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GLAUCOMA
CLASIFICACION
•Primarios
•Secundarios
•Congénitos
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GLAUCOMA
PRIMARIOS
•De Angulo Cerrado
•De Angulo Abierto
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Glaucoma 1º de Ang cerrado
• Definición:
Afeccion mecanica y biometrica, que predisponen al ojo que bajo ciertas influencias, se produzca un cierre del angulo camerular, con hipertonia.
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Glaucoma 1º de Ang cerrado
• Historia:
* Bannister y Guthrie
* Donders
* Trantas
* Uribe Troncoso-Barkan
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Glaucoma 1º de Ang cerrado
• Relacion 1/10 con POAG
• Mayor en mujeres
• Pico en la sexta decada
• Raza: Amarilla-Blanca-Negra
• Hipermetropes-Emetropes-Miopes
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Glaucoma 1º de Ang cerrado
• Fisiopatogenia:
* Mecanismo
* Tamaño
* Herencia
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Glaucoma 1º de Ang cerrado
• Fisiopatogenia:
* Mecanismo
* Tamaño
* Herencia
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Glaucoma 1º de Ang cerrado
• Tamaño:
* Camara anterior
* Largo axil
* Cornea
* Cristalino
* Angulo camerular
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Glaucoma 1º de Ang cerrado
• Tamaño:
* Cámara anterior
* Largo axil
* Cornea
* Cristalino
* Angulo camerular
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Glaucoma 1º de Ang cerrado
Largo axil
Normales
24 mm
PCAG
22.86 mm
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Glaucoma 1º de Ang cerrado
• Tamaño:
* Cámara anterior
* Largo axil
* Cornea
* Cristalino
* Angulo camerular
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Glaucoma 1º de Ang cerrado
• Cornea:
* Radio de curvatura menor
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Glaucoma 1º de Ang cerrado
• Cornea:
* Radio de curvatura menor
* Cúpula corneal <
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Glaucoma 1º de Ang cerrado
• Cornea:
* Radio de curvatura menor
* Cúpula corneal <
* Angulo de aplanamiento corneal <
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Glaucoma 1º de Ang cerrado
• Tamaño:
* Cámara anterior
* Largo axil
* Cornea
* Cristalino
* Angulo camerular
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Glaucoma 1º de Ang cerrado
• Cristalino:
* Mayor Espesor
* Inserción mas anterior
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Glaucoma 1º de Ang cerrado
• Tamaño:
* Camara anterior
* Largo axil
* Cornea
* Cristalino
* Angulo camerular
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Glaucoma 1º de Ang cerrado
• Fisiopatogenia:
* Mecanismo
* Tamaño
* Herencia
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Glaucoma 1º de Ang cerrado
• Factores desencadenantes:
* Bloqueo pupilar
* Bloqueo trabecular
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Glaucoma 1º de Ang cerrado
• Bloqueo pupilar:
* Oscuridad
* Medicacion
* Intoxicaciones
* Factores emocionales
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Glaucoma 1º de Ang cerrado
• Pruebas de provocacion:
* Midriaticos
* Midriaticos-Mioticos
* Oscuridad
* Lectura
* Procubito
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Glaucoma 1º de Ang cerrado
• Clinica:
* Dolor
* Ojo rojo
* Dism. de la AV (Halos)
* Vomitos
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Glaucoma 1º de Ang cerrado
• Signos:
* PIO muy elevada
* Inyeccion ciliar
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Glaucoma 1º de Ang cerrado
• Signos:
* PIO muy elevada
* Inyeccion ciliar
* Edema de cornea
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Glaucoma 1º de Ang cerrado
• Signos:
* PIO muy elevada
* Inyeccion ciliar
* Edema de cornea
* CA baja
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Glaucoma 1º de Ang cerrado
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Glaucoma 1º de Ang cerrado
• Signos:
* PIO muy elevada
* Inyeccion ciliar
* Edema de cornea
* CA baja
* Midriasis
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Glaucoma 1º de Ang cerrado
Gonioscopia
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Glaucoma 1º de Ang cerrado
• Reversibilidad del bloqueo
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Glaucoma 1º de Ang cerrado
• Tratamiento Medico:
* Diamox (c/6hs)
* Mioticos (c/min- 15 min, luego c/ 30 min-6hs)
* Otras drogas
* Hiperosmoticos
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Glaucoma 1º de Ang cerrado
• Tratamiento Qx:
* Iridotomia laser
* Iridectomia Qx
* Cirugia
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Glaucoma 1º de Ang cerrado
• Complicaciones:
Nervio optico
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Glaucoma 1º de Ang cerrado
• Complicaciones:
* Nervio optico
* Cristalino
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Glaucoma 1º de Ang cerrado
• Complicaciones:
* Nervio optico
* Cristalino
* Iris
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Glaucoma 1º de Ang cerrado
• Complicaciones:
* Nervio optico
* Cristalino
* Iris
* Cornea
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