■ NOTES on TTT of glucoma :-

● Both BBs & CAi & brimonidine act on decrease production of aqueous
● PG analogue & adrenaline act on increase outflow of aqueous
● Brimonidine is CI under the age of 2 years
● Acetazolamide is given in case of acute attack of glucoma with high IOP
● Never given BBs at bed time to avoid profound Hypotension
● Betaxolol is selective B blocker  & Increase ON blood flow
● PG consider as 1st line of TTT , while BB as a 2nd line , BB considers as 1st line if there is no CI
● Nerver give adrenaline locally for fear of closed angle glucoma 
● Mannitol is DOC in Acute closure glucoma , but CI in DM
● Trabeculectomy is DOC in case :
Congeintal glucoma , POAG , PACG 

■ Notes on 2ry glucoma :-
● Open angle :
♤Acute iridocyclitis , 2ry iridocyclitis (early non perforated corneal ulcer), Rubeosis iridies
♤ steriods , sublaxation of lens
♤ Hypopyon , hyphema
♤ DR , CRVO
♤ Phacolytic , phacoanaphylactic glucoma
♤ Pseudo- exfoliation, Pigmentry glucoma
● Closed angle :
♧ Ant. Staphyloma, Ant dislocation of lens , leucoma adherent
♧ Mydriate in narrow angle , maligant glucoma
♧ Occlusion , seclusion ( pupilae)
♧ Inversus , phacomorphic (glucoma), PAS
♧  End stage of NVG
  

■ NOTE :-

●MCQ on Mid :
https://t.me/med_Notes2/150

● Glucoma :
https://t.me/med_Notes2/148
https://t.me/med_Notes2/149

● Eye lid :
https://t.me/med_Notes2/58

● Cornea :
https://t.me/med_Notes2/72

● Squint :
https://t.me/med_Notes2/114

لا تنسوني من هذا اليوم المبارك يوم الجمعة أن تدعوا لي و أن تدعوا إلى صديقي الذي توفى بالأمس في حادث سير 💔💔😥😥