There are lots of causes of secondary glaucoma and it can be difficult to remember all of them in detail. The tables below summarise the key points for the exam.
Acute Glaucoma
Condition |
Key Characteristics |
|---|---|
APAC |
ITC + mid dilated pupil |
Neovascular |
Rubeosis iridis + vasculopath |
Steroid-induced |
History of steroid use |
Posner-Schlossman |
Recurrent IOP spikes in otherwise normal eye |
Inflammatory |
PAS + uveitis/systemic inflammation |
Pigmentary |
Post-exercise IOP spikes with AC pigment and TM pigmentation + spoke like TI defects |
Red cell |
Hyphema |
Ghost cell |
vitreous haemorrhage |
Phacomorphic |
Intumescent lens |
Phacolytic |
Hypermature cataract |
Lens dislocation |
Ectopia lentis |
Aqueous misdirection |
Post-surgery in hyperopic eyes (shallow AC) |
Choroidal pathology |
Hx of surgery + choroidal haemorrhage |
Chronic Glaucoma
Condition |
Key Characteristics |
|---|---|
POAG |
IOP + glaucomatous change |
NTG |
Normal IOP + Glaucomatous change |
PXF |
White material in AC |
Pigmentary |
Exercise-induced spoke like on TI, pigmentation of TM |
Steroid-induced |
History of steroid use |
Angle recession |
Ciliary body trauma and widened |
Chronic angle-closure |
PAS |
Neovascular |
Rubeosis iridis + retinal vascular disease |
Inflammatory |
Intermittent PAS closure |
Phacomorphic |
Intumescent lens |
Aqueous misdirection |
Post surgery in hyperopes |
