This is angle closure Glaucoma that’s is attributed to a known cause, e.g trauma, inflammation etc.
This particular condition most times comes with iris inflammation. Signs and symptoms includes pain, red eyes, fixed and dilated pupils, cornea odema ( occasionally).
Treatment includes hyperosmotics, miotics and anti Glaucoma drugs, while ensuring that the primary cause is properly treated.
Prognosis is very good, but delayed treatment can result in fatal consequences.
Since the cause and cure for glaucoma are both unknown, the goal of Glaucoma management for now is to reduce intraocular pressure (IOP).
The main classes of anti Glaucoma medications includes the following:
1.Alpha 2 adrenergic agonist: these class of drugs reduces IOP by reducing the production of aqueous and increase the out flow of aqueous. The above attributes makes it a strong drug for glaucoma management. Examples of drugs in this category includes brimonidine, apraclonidine et.c.
2. Beta blockers: this class of drugs reduces the production of aqueous humor. We have general beta blockers and selective beta blockers. Examples of drugs in this class are timolol, levobunolol, betaxolol et.c.
3.Carbonic anhydrase inhibitor: This particular class of drugs reduces IOP by acting as an antidiuretic. They’re available as systemic and topical formulation. Examples are acetazolamide, brinzolamide, dorzolamide et.c
4. Prostaglandin analogues: This class of drugs works primarily by increasing outflow of aqueous humor. Examples includes latanoprost, travoprost.
5. Hyperosmotics: This class of drugs acts on the principle of osmosis. They draw out liquid from area of lower concentration to area of higher concentration. Examples includes salacin, osmoglyn.
Other classes of anti Glaucoma medications are the miotics. They help open up the anterior chamber to increase outflow of aqueous humor ( especially in angle closure glaucoma) examples includes pilocarpine.
Inasmuch as there’s no known cause of Glaucoma, there are lifestyle practices that can actually predispose one to Glaucoma, and these lifestyle practices includes
Abusing medications like steroids.
Feeding on artificially processed and junk food. These type of food are packed with free radicals that causes cell death, optic Nerves inclusive.
Smoking and high alcohol intake can also trigger an increase In IOP and optic nerve damage.
Glaucoma can be classified based on etiology and based on anterior chamber angle depth.
Based on Etiology glaucoma is classified into
Primary glaucoma – glaucoma that has no known cause.
Secondary glaucoma – glaucoma with obvious causes and they are of different types and they are: a. Drug induced glaucoma b. Congenital glaucoma. c. Glaucoma secondary to trauma. d. Glaucoma due to inflammation
Based on anterior chamber angle depth, glaucoma can be classified into
Open angle glaucoma.
Close Angle glaucoma
Other types of glaucoma includes normal tension glaucoma and pigmentary Glaucoma.