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CASE STUDY
EYE CLINIC
GLAUCOMA
NAME
MELVIN GUADING
930819-15-5029
MATRICS NO.
BPP2013-2275
INTAKE
JANUARI 2013
SEMESTER
YEAR 3 SEMESTER 2
INTRODUCTION
Glaucoma is not just one eye disease, but a group of eye conditions resulting in
optic nerve damage, which may cause loss of vision. Abnormally high pressure inside your
eye (know as intraocular pressure) usually, but not always, causes this damage. Besides,
glaucoma is one of the leading causes of blindness in the world as research by World
Organization Health (WHO). Glaucoma can damage your vision so gradually you may not
notice any loss of vision until the disease is at an advanced stage.
The most common type of glaucoma, primary open-angle glaucoma, has no
noticeable signs or symptoms except gradual vision loss. Glaucoma prognosis is when a
patient has a glaucoma and get early diagnosis and treatment, a patient can minimize or
prevent their optic nerve damage and limit glaucoma-related vision loss. It's very important
to get your eyes examined regularly every a month or a year, and make sure your eye
doctor measures your intraocular pressure.
Besides, it is usually asymptomatic until advanced and many people will be unaware
there is a problem with their eyes until severe visual damage has occurred. Ocular
hypertension (OHT) is a major risk factor for developing COAG, although COAG can occur
with or without raised eye pressure.
PROBLEMS STATEMENTS
Glaucoma is a No. 1 disease in the world, especially in Malaysia that can cause of
disability in vision or blindness. According research by Malaysia Health Ministry showed
that 30-70 % of adults who have hypertension and diabetes mellitus has a high risk of
getting glaucoma. Nowadays people do not care about their eyes, especially for patients
who suffering of hypertension that they need to control their blood pressure by getting
proper treatment with doctor. Besides, who has diabetes mellitus also need to practice
healthy daily diet to prevent complications such as glaucoma?
LITERATURE REVIEW
Glaucoma refers to a group of eye conditions that lead to damage to the optic nerve, the
nerve that carries visual information from the eye to the brain. In many cases, damage to
the optic nerve is due to increased pressure in the eye, also known as intraocular pressure
(IOP).
~Nursing Journal & Articles, 2010
Glaucoma is a group of diseases that damage the eyes optic nerve and can result in
vision loss and blindness. However, with early detection and treatment, you can often
protect your eyes against serious vision loss.
~ The National Eye Institute
The increased pressure, called intraocular pressure, can damage the optic nerve, which
transmits images to the brain. If damage to the optic nerve from high eye pressure
continues, glaucoma will cause permanent loss of vision. Without treatment, glaucoma can
cause total permanent blindness within a few years.
~ United Kingdom Eye Health Care.
Glaucoma is not just one eye disease, but a group of eye conditions resulting in optic
nerve damage, which may cause loss of vision. Abnormally high pressure inside your eye
(intraocular pressure) usually, but not always, causes this damage.
~ Foundation for Medical Education and Research, 2012
PATIENTS FINDING
CASE BACKGROUND
Patients Name
Basani Sawani
004792
Date Of Birth
02 Mei 1958
Age
57 years old
Religion
Islam
Nation
Bajau
Status
Married
Occupation
Government Pensioners
Address
Eye pain
Blurred vision
DISCUSSION
TYPES OF GLAUCOMA
There are four major types of glaucoma :
a) Open-angle (Chronic) Glaucoma
b) Angle-closure (Acute) Glaucoma
c) Congenital Glaucoma
d) Secondary Glaucoma
The front part of the eye is filled with a clear fluid called aqueous humor. This fluid is always
being made in the back of the eye. It leaves the eye through channels in the front of the eye
in an area called the anterior chamber angle, or simply the angle.
Anything that slows or blocks the flow of this fluid out of the eye will cause pressure to build
up in the eye. This pressure is called intraocular pressure (IOP). In most cases of
glaucoma, this pressure is high and causes damage to the major nerve in the eye, called
the optic nerve.
a) Open-angle (Chronic) Glaucoma.
The cause is unknown. An increase in eye pressure occurs slowly over time. The
pressure pushes on the optic nerve and the retina at the back of the eye
Open-angle glaucoma tends to run in families. Your risk is higher if you have a
parent or grandparent with open-angle glaucoma. People of African descent are at
particularly high risk for this disease
If you have had acute glaucoma in one eye, you are at risk for an attack in the
second eye, and your doctor is likely to recommend preventive treatment.
Dilating eye drops and certain medications may trigger an acute glaucoma attack.
c) Congenital Glaucoma.
It is present at birth
It results from the abnormal development of the fluid outflow channels in the eye
Systemic diseases
CLINICAL SIGN
There are clinical sign of Glaucoma :
a) Open Angle (Chronic) Glaucoma
Red eye.
c) Congenital Glaucoma
Symptoms are usually noticed when the child is a few months old.
Red eye.
Sensitivity to light.
Tearing.
Gonioscopy
Use of a special lens to see the outflow channels of the angle
Retinal examination
Visual acuity
Risk of factors
Elevated internal eye pressure (intraocular pressure).
If your internal eye pressure (intraocular pressure) is higher than normal, you're at
increased risk of developing glaucoma, though not everyone with elevated
intraocular pressure develops the disease.
Age.
You're at a higher risk of glaucoma if you're older than age 60, particularly if you're
Mexican-American. You may be at higher risk of angle-closure glaucoma if you're
older than age 40. For certain groups such as African-Americans, however, the risk
of developing glaucoma is much higher and occurs at a younger age than that of
other groups. If you're African-American, ask your doctor when you should start
having regular comprehensive eye exams.
Ethnic background.
African-Americans older than age 40 have much higher risk of developing glaucoma
than do whites (Caucasians). African-Americans also are more likely to experience
permanent blindness as a result of glaucoma. People of Asian descent have an
increased risk of developing acute angle-closure glaucoma. People of Japanese
descent may be more likely to have normal-tension glaucoma.
PREVENTION
Get regular eye care.
Regular comprehensive eye exams can help detect glaucoma in its early stages before
irreversible damage occurs. As a general rule, have comprehensive eye exams every three
to five years after age 40 and every year after age 60. You may need more frequent
screening if you have glaucoma risk factors. Ask your doctor to recommend the right
screening schedule for you.
Treat elevated eye pressure.
Glaucoma eye drops can significantly reduce the risk that elevated eye pressure will
progress to glaucoma. To be effective, these drops must be taken regularly even if you
have no symptoms.
Eat a healthy diet.
While eating a healthy diet won't prevent glaucoma, it can improve your physical and
mental health. It can also help you maintain a healthy weight and control your blood
pressure.
Wear eye protection.
Serious eye injuries can lead to glaucoma. Wear eye protection when you use power tools
or play high-speed racket sports on enclosed courts. Also wear hats and sunglasses if you
spend time outside.
REFERENCE
Laman Web Rasmi Journal Nursing Articles
http://www.nsgmed.com/eye/glaucoma-definition-types-causes-symptoms-diagnosistreatment/
The National Eye Institute Facts about Glaucoma
www.nei.nih.gov
WebMd Foundation for Medical Education and Research What Is Glaucoma?
http://answers.webmd.com/answers/1191561/what-is-glaucoma
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