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GLAUCOMA - Coggle Diagram
GLAUCOMA
Assessment and diagnostic findings
Establishment of diagnostic category
Assessment of the optic nerve
Formulate treatment plan
Examinations of the eye
History of ocular, medical conditions
Tonometry
To measure IOP
Ophthalmoscopy
To inspect the optic nerve
Gonioscopy
Filtration angle examination of the anterior chamber
Perimetry
To assess visual fields
Clinical manifestations
Silent thief of sight
"Halos" around lights
Blurred vision
Difficulty in focusing
Difficulty in adjusting eyes in low lighting
Loss of peripheral vision
Headache
Aching and discomfort around eyes
Classification
Open angle glaucoma
Angle closure glaucoma
Congenital glaucoma
Glaucoma associated with other conditions abnormalities
Developmental abnormalities
Use of corticorsteroids
Stages of glaucoma
Initiating events (1st stage)
Emotional stress
Congenital narrow-angles
Illness
Long term use of corticorsteroids
The use of mydriatics
Structural alterations in the aqueous flow(2nd phase)
Functional alterations (3rd stage)
Increased Intraocular pressure
Impaired blood flow
Optic nerve damage(4th stage)
Atrophy
Loss of nerve fibres
Loss of blood supply
Management
Nursing Management
Patient education
Strict adherence to medications
The nature of the disease
Medication effects and side effects
Knowledge of IOP
Desired levels of IOP
Record keeping of results
Medication review with the ophthalmologist
Drug interaction
Review dosing schedule with the eye doctor
Participate in decision making
Keep all appointments
Insillation of eye drops
Pharmacological therapy
Systemic and topical medications
Patient health and stage consideration
Periodic follow-up to assess IOP
Comfort, affordability convenience consideration
Lifestyle and personality
Started on a low dosage
Beta-blockers
One eye treatment first
The othe used a control determination of efficancy
Chollinergics
Adrenergic agents
Carbon anhydrase inhibitors
Surgical management
Laser trabeculoplasty
Laser iridotomy
Filtering procedure
A bleb
Drainage implants and shunts
Trabectome surgery
Definition
A group of ocular conditions
Optic nerve damage
Pathophysiology
Raised IOP
Related to
Aqueous humour production
Failure to aqoeus humour drainage
Open angle reduction
Iris close to the trabecular meshwork
Optic nerve damage