Test 42
(Matching Paper: Glaucoma)
1. Match the history (a-d ) with the most suitable medication given (A-H):
A. bromonidine
B. pilocarpine
C. iodipine
D. latanoprost 
E. timolol
F. oral acetazolamide
G. dorzolamide
H. dipivefrine
a. A 78 year-old woman has been taking an anti-glaucoma eyedrop
for the past 20 years. The pressures in both eyes measure 18mmHg. 
Examination reveals the presence of black deposits in the lower tarsal 
conjunctiva of both eyes. What medication is she likely to be on? 

b. A 54 year-old woman with a past history of ophthalmic shingle develops a right uveitis and raised intraocular pressure measuring 30mmHg. There is 
also mild corneal oedema. She is on tricyclic antidepressant for post-herpetic
Which anti-glaucoma medication is preferable?


c. A 78 year-old asthmatic man has bilateral mild ptosis and early glaucoma with raised intraocular pressures of RE 25 and LE 28. He was given an anti-glaucoma treatment. On review four weeks later, the pressures in both eyes are controlled and the ptosis improves. Which anti-glaucoma medication  might have been given in this patient?

d. A 29 year-old woman has bilateral pigment dispersion syndrome and raised intraocular pressures measuring RE 39 and LE38. She is a keen sport woman and trains regularly for long-distance running.
Which anti-glaucoma medication is preferable?

2. Match the following history and clinical signs (a-d) with the most likely diagnosis
    (A-N) listed below. 
A. Schwartz's syndrome
B. carotid-cavernous fistula
C. phacomorphic glaucoma
D. phacoanaphylactic glaucoma
E. phacolytic glaucoma
F. iridocorneal endothelial syndrome
G. iridoschisis
H. posterior polymorphous dystrophy
I.  bulphthalmos
J.  malignant glaucoma
K. epithelial ingrowth
L.  neurofibromatosis
M. Peter's anomaly
N.  Axenfeld's syndrome
a. A 28 year-old patient has bilateral prominent Schwalbe's line with peripheral anterior 
synechiae. The pressures in both eyes measure R29 and L28. The cornea in both eyes
appear normal.


b. A 46 year-old man has bilateral glaucoma. Examination reveals peripheral anterior 
synechiae, corectopia and iris atrophy in both eyes. In additions, there are band like 
lesions and islands of endothelial changes at the level of Descemet's membrane.


c.  A 70 year-old woman underwent a right trabeculectomy for primary open angle 
glaucoma. 24 hours after the operation the anterior chamber is noted to be shallow
and the intraocular pressure measures 43mmHg. The iridectomy appears patent.


d.  A 54 year-old man has a red right eye and decreased vision. On examination, he has 
a superior retinal detachment and a mild anterior chamber inflammation. The intraocular 
pressure measures 32mmHg and responded poorly to anti-glaucoma eyedrops. 
Post-operatively, the intraocular pressure returns to normal spontaneously without 
further treatment.

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