青光眼损伤形成课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,GLAUCOMA,QU BO,曲 勃,The 4,th,Affiliated Hospital of China Medical University,It may be,Glaucoma: the concept,Glaucoma is a group of diseases that can damage the eyes,optic nerve,and result in,vision loss,and,blindness,.,However, with early treatment, you can often protect your eyes against serious vision loss.,The damages are mostly caused by increased pressure of water-aqueous humor (,房水）,in the eye,What is Optic Nerve?,“,Cable “,that transmit image signals to brain,Higher,IOP,is the most important,cause,leading to the damage,pressure,Optic nerve,What causes optic nerve injury,in Glau,coma,？,Two causes : Mechanical forces,(introcular pressure:IOP),and,vascular forces,Glaucoma damage formation,青光眼损伤形成,Anterior chamber:,前房,Posterior chamber:,后房,pupil:,瞳孔,Iris:,虹膜,Anterior chamber angle:,前房角,Cornea:,角膜,ciliary body:,睫状体,Glaucoma is a group of diseases that can damage the eyes optic nerve and result in vision loss and blindness.,A series of test performed by your eye doctor will help to determine whether you have glaucoma or likely to develop glaucoma.,The 4th Affiliated Hospital of China Medical University,3rd Ophthalmoscopy眼底镜,Open Angle Glaucoma,The meshwork 小梁网 is the eyes drain,If glaucoma is left untreated, damage increases, which may eventually lead to blindness.,The damages are mostly caused by increased pressure of water-aqueous humor (房水）in the eye,Reduced side vision, central vision intact,Must be treated as a medicalemergencysee your ophthalmologist immediately.,Normal drain,The Ciliary Body睫状体 ,Red eye, pain in the eye,Glaucoma damage formation,Frequent eye examinations and tests are critical to monitor your eyes for any changes（定期检查）,2nd Tonometry眼压计,Have poor vision,How often should I get my eye examined,The angle is narrower than normal.,in Glaucoma？,Glaucoma damage formation,青光眼损伤形成,Normal Drainage Picture,正常房水流出通道,The meshwork,小梁网, is the eyes drain,The Ciliary Body,睫状体,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,Lens,Who is most likely to get glaucoma?,You are more likely to get glaucoma if you:,Have family members with glaucoma,Are over 45 years of age,Have poor vision,Have diabetes,（糖尿病）,Take steroid medication,（使用激素）,Previous eye injury.,Classification on Mechanism,Aqueous Fluid,Normal Drainage,: good flow,正常房水流出通道,The Ciliary Body,睫状体,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,anterior chamber angle,前房角,The meshwork,小梁网, is the eyes drain,Normal drain,Blocked Drainage holes,The angle is narrower than normal. If water cant flow easily through the opening in the pupil, the iris pushes forward and blocks the drainage holes.,anterior chamber angle,前房角,Closed-angle Glaucoma,闭角型青光眼,Closed-angle glaucoma,Closed-angle Glaucoma,The drainage angle of trabecular meshwork becomes blocked by the iris,IOP builds up very fast.,Symptoms include severe eye or brow pain, redness of the eye,decreased or blurred vision.,Must be treated as a medicalemergencysee your ophthalmologist immediately.,Open Angle Glaucoma,开角型青光眼,Clogged Drainage holes,The angle between the iris and the cornea is normal, but the drainage holes get clogged from the inside.,anterior chamber angle,前房角,Open Angle Glaucoma,Open Angle Glaucoma,Trabecular meshwork becomes less efficient at draining aqueous humor.,Intraocular pressure (IOP) builds up,which leads to damage of the optic nerve.,Damage to the optic nerve occurs at different eye pressures among different patients.,Typically, glaucoma has no symptoms in its early stages.,Closed-angle Glaucoma,Two causes : Mechanical forces (introcular pressure:IOP) and vascular forces,If glaucoma is left untreated, damage increases, which may eventually lead to blindness.,Damage to the optic nerve occurs at different eye pressures among different patients.,Trabecular meshwork becomes less efficient at draining aqueous humor.,Glaucoma is a lifetime disease(青光眼为终身性疾病),Glaucoma: the concept,Frequent eye examinations and tests are critical to monitor your eyes for any changes（定期检查）,Improves blood flow to the optic nerve.,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,Must be treated as a medicalemergencysee your ophthalmologist immediately.,The meshwork 小梁网 is the eyes drain,Under 45 years old:,The 4th Affiliated Hospital of China Medical University,Normal drain,anterior chamber angle,If you have risk factor for glaucoma*,Glaucoma is a group of diseases that can damage the eyes optic nerve and result in vision loss and blindness.,How often should I get my eye examined,Glaucoma: Diagnosis,Vision loss,Tunnel vision,管状视野,Red eye, pain in the eye,眼痛、睫状充血,Halo around lights,Blurred vision,视物模糊,SYMPTOMS,Glaucoma: Symptoms,症状,虹视,Glaucoma: Symptoms,Normal vision,正常视野,Reduced side vision, central vision intact,周边视野局限缺损,Tunnel vision,管状视野,How can I find out if I have glaucoma?,A series of test performed by your eye doctor will help to determine whether you have glaucoma or likely to develop glaucoma.,Glaucoma: Diagnosis,1,st, History and General Examination,2nd Tonometry,眼压计,4th Perimetry,视野计,3rd Ophthalmoscopy,眼底镜,How is glaucoma treated?,Eye drops,Pills,Laser surgery,Eye operations,Combination method,Treatment Options,The purpose of treatment is to,prevent further loss of vision.,This is important because,loss of vision,due to glaucoma is,irreversible.,Will I go blind because of glaucoma?,If glaucoma is left,untreated,damage increases, which may eventually lead to,blindness.,Regular eye examinations,Regular intake of medications as instructed by the eye doctors,Therefore, you should have,How often should I get my eye examined,If you have no risk factors for glaucoma*,If you have risk factor for glaucoma*,Under 45 years old:,Every 4 years,Every 2 years,45 years and older:,Every 2 years,Every year,If you are diagnosed with glaucoma, your doctor will set a treatment cycle based upon your medical needs.,* Risk factors for glaucoma,危险因素,:,Family history, hyperopia,myopia (nearsightedness), previous eye injury, low blood pressure, diabetes, long exposure to cortisone,家族史、远视近视眼、外伤史、低血压、糖尿病、激素长期使用,Have poor vision,Anterior chamber:前房 Posterior chamber:后房 pupil:瞳孔 Iris:虹膜,The meshwork 小梁网 is the eyes drain,Under 45 years old:,Glaucoma damage formation,Tobacco can worsen the disease.,Reduced side vision, central vision intact,Two causes : Mechanical forces (introcular pressure:IOP) and vascular forces,Blurred vision,Tunnel vision管状视野,Glaucoma: Diagnosis,Do not stop taking or changing your medications without first consulting your doctor (不能私自改变用药）,Two causes : Mechanical forces (introcular pressure:IOP) and vascular forces,3rd Ophthalmoscopy眼底镜,Tobacco can worsen the disease.,Normal vision,Eye operations,Tobacco can worsen the disease.,in Glaucoma？,Vision loss,Higher IOP is the most important cause leading to the damage,Previous eye injury.,3rd Ophthalmoscopy眼底镜,Normal Drainage Picture,Have poor vision,Glaucoma: Diagnosis,anterior chamber angle,How often should I get my eye examined,Red eye, pain in the eye,Does diet, exercise, or changein behaviors help?,However, with early treatment, you can often protect your eyes against serious vision loss.,Anterior chamber angle:前房角 Cornea:角膜 ciliary body:睫状体,The angle is narrower than normal.,Glaucoma: Symptoms,Glaucoma: Diagnosis,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,Normal vision,Frequent eye examinations and tests are critical to monitor your eyes for any changes（定期检查）,“Cable “that transmit image signals to brain,This is important because loss of vision due to glaucoma is irreversible.,Tobacco can worsen the disease.,Tobacco can worsen the disease.,Does diet, exercise, or changein behaviors help?,Exercise may be beneficial as it :,Lowers eye pressure,Improves blood flow to the optic nerve.,Avoid smoking or second-hand smoke.,Tobacco can worsen the disease.,Remember,Treatment for glaucoma requires a “team” made up of both you and your doctor (ophthalmologist,)(,患者和医生组成治疗团队）,Glaucoma is a lifetime disease,(,青光眼为终身性疾病,),Your doctor can prescribe treatment for glaucoma, but only you can make sure to put your eye drops regularly,（患者自己保证按时用药）,Do not stop taking or changing your medications without first consulting your doctor,(,不能私自改变用药）,Frequent eye examinations and tests are critical to monitor your eyes for any changes,（定期检查）,Remember,It is your vision, and therefore its your responsibility to maintain it,The 4th Affiliated Hospital of China Medical University,2nd Tonometry眼压计,Therefore, you should have,Glaucoma damage formation,Normal drain,Normal Drainage Picture,The 4th Affiliated Hospital of China Medical University,* Risk factors for glaucoma危险因素:,How often should I get my eye examined,anterior chamber angle,Tobacco can worsen the disease.,Aqueous Fluid Normal Drainage : good flow,Tobacco can worsen the disease.,Red eye, pain in the eye,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,Glaucoma: Diagnosis,Tobacco can worsen the disease.,Under 45 years old:,“Cable “that transmit image signals to brain,Typically, glaucoma has no symptoms in its early stages.,anterior chamber angle,“Cable “that transmit image signals to brain,Frequent eye examinations and tests are critical to monitor your eyes for any changes（定期检查）,Do not stop taking or changing your medications without first consulting your doctor (不能私自改变用药）,A series of test performed by your eye doctor will help to determine whether you have glaucoma or likely to develop glaucoma.,The angle between the iris and the cornea is normal, but the drainage holes get clogged from the inside.,Glaucoma: Diagnosis,A series of test performed by your eye doctor will help to determine whether you have glaucoma or likely to develop glaucoma.,The damages are mostly caused by increased pressure of water-aqueous humor (房水）in the eye,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,Two causes : Mechanical forces (introcular pressure:IOP) and vascular forces,Have diabetes（糖尿病）,Glaucoma damage formation,How often should I get my eye examined,2nd Tonometry眼压计,anterior chamber angle,Take steroid medication（使用激素）,When this drainage of the fluid gets blocked, excess pressure is formed leading to Glaucoma,Red eye, pain in the eye,Under 45 years old:,Aqueous Fluid Normal Drainage : good flow,Red eye, pain in the eye,Glaucoma: Symptoms,