History Case 3

• born 1936, male, caucasian,
• 2000, presented to Eye casualty with a corneal abrasion
  • pressure 32 (R) , 44 (L)
  • 0.7 c/d (R) , 0.85 (L),
    (c/d= cup to disc ratio, explained in photos on this page, normal is 0.3)
  • significant field defect left eye
  • open angle on gonioscopy
  • diagnosed as chronic POAG (primary open angle glaucoma)
  • prescribed g Teoptic 1% bd (R) & (L)
  • did not achieve low pressure
  • g xalatan od added
• 2002, 0.7 c/d (R) , 0.85 (L), unchanged
  • pressure 12 both eyes
  • target pressure 10-12
  • fields and discs on main page
  • healthy lifestyle and low blood pressure & diet needed...see case 1
  • asymmetric glaucoma is common
• future: little change expected,as target pressure has been reached