1. Dr. T. Sarada M.S. Ophthalmology

2.  Congenital and developmental Glaucomas  Without associated anomalies - Primary congenital  With associated anomalies  ICE syndromes  Aniridia  Primary glaucomas  POAG  PACG  Secondary glaucomas  Open angle  Closed angle

3.  Clinical features  Photophobia, lacrimation, blepherospasm  Buphthalmos, corneal edema, descemet’s tears  Blue sclera,  Pathology  Trabecular dysgenesis  Evaluation under anaesthesia  IOP, corneal Diameter, disc evaluation, gonioscopy

4.  buphthalmos

5.  Treatment  Goniotomy  Trabeculotomy  Trabeculotomy + trabeculectomy

6.  Treatment  Goniotomy  Trabeculotomy  Trabeculotomy + trabeculectomy

7.  Congenital and developmental Glaucomas  Without associated anomalies - Primary congenital  With associated anomalies  ICE syndromes  Aniridia  Primary glaucomas  POAG  PACG  Secondary glaucomas  Open angle  Closed angle

10.  Congenital and developmental Glaucomas  Without associated anomalies - Primary congenital  With associated anomalies  ICE syndromes  Aniridia  Primary glaucomas  POAG  PACG  Secondary glaucomas  Open angle  Closed angle

11.  Risk factors  Heredity  Age  Myopia  Diabetes  Smoking  Htn  Thyroid dysfunction

12.  Etiopathogenesis  Increased trabecular resistance  Steroid responsiveness  Clinical features  Painless progressive field loss  Night blindness (filed loss + delayed dark adoptation)  Early loss of accommodation  Complete loss of vision

13.  IOP  Disc changes  Visual field changes

14. Lamellar dot sign Bayoneting sign splinter haemorrhage BARRING OF THE VESSELS

15. Relative Paracentral scotoma

17. Arcuate scotoma

19. Ring scotoma

20.  Tonometry  Gonioscopy  Fundoscopy – Disc changes  Slit-lamp examination  Perimetry  NFLA  Provocative test

21.  Provocative tests  Water drinking test (1 litre, IOP every 15 min, >8mm of Hg rise)  Bulbar pressure test  Prescoline test ( >8 mm of Hg)  Caffeine test ( >8 mm of Hg)  Phasing / diurnal variation test ( >8 mm of Hg)

22.  Treatment  Medical  Beta blockers (timolol)  Pilocarpine  CA inhibitors (dorzolamide)  Prostaglandins (latanoprost)  Adrenergics (apraclonidine)  Organ LASER trabeculoplasty

23.  Surgical – Filtering surgery  Trabeculectomy  Non penetrating filtering surgeries  Visco canolostomy  Deep sclerectomy

25. Rising of fornix based conjunctival flap

26. Partial thickness scleral flap

27. Dissection extending till limbal area

28. Preperation of deep scleral block

29. Excision of deep scleral block

30. Surgical peripheral iridectomy

31. suturing of superficial scleral flap & conjunctival flap

32. Filtering bleb