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DISCUSSION
A male, 58 years old came to the hospital with the major complaint are
blurred vision in the left and right eyes since 2 months ago. Patient also complaint
fotofhobia in both eyes and watery. Patient admited using eyedrops cendo xitrol to
ease his eye problem since a month ago. He has hypertension and allergic but
disclaimed about history diabetes mellitus, wearing eye glasses, history of another
eyes disease and other systemic disease. Smoking (+), alcohol use (-). Family
history with the same complaint was denied.
The subjective side from the patient are blurred vision in his left and right
eyes, has hypertension and using eyedrops cendo xitrol. Meanwhile, the objective
side from the clinical examination:
Visual acuity
Diameter Pupil
Reflex pupil
Fundus
OD
OS
1/300
6/25 ph 6/15
>3mm
3mm
+
Pale papil, Cup disk ratio Cupping (+), cup disk
TIO
difficult to eveluate
43,7 mmHg
patient disclaimed about the eye pain, nausea and vomiting, and the anterior
chamber is deep and clear that can see in Illumination of the anterior chamber.
Primary open-angle glaucoma (POAG) is a chronic progressive optic neuropathy
with characteristic morphological changes at the optic nerve head and retinal
nerve fiber layer in the absence of other ocular disease or congenital anomalies.
Primary open angle glaucoma begins in middle-aged and elderly patients with
minimal symptoms that progressively worsen.
Riwayat penggunaan obat tets mata cendo xitrol.
Kortikosteroid intraokular, periokular, dan topikal dapat menimbulkan sejenis
glaukoma yahg mirip dengan giaukoma sudut terbuka primer, terutama pada
individu dengan riwayat penyakit ini pada keluarganya, clan akan memperparah
peningkatan tekanan intraokular pada para pengidap glaukoma sudut terbuka
primer. (vaughan)
Increased IOP with use of corticosteroids. Usually takes 2 to 4 weeks after starting
topical steroids. The rate of decrease relates to the duration of use and the severity
of the pressure increase. The IOP increase is due to reduced outflow facility of the
pigmented trabecular meshwork, and when this is severe, the IOP may remain
increased for months after steroids are stopped. (the wills)