青光眼損傷形成課件

GLAUCOMA

QUBO曲勃The4thAffiliatedHospitalofChinaMedicalUniversityGLAUCOMA

QUBO1ItmaybeItmaybe2Glaucoma:theconceptGlaucomaisagroupofdiseasesthatcandamagetheeye'sopticnerveandresultinvisionlossandblindness.However,withearlytreatment,youcanoftenprotectyoureyesagainstseriousvisionloss.Thedamagesaremostlycausedbyincreasedpressureofwater-aqueoushumor(房水）intheeyeGlaucoma:theconceptGlaucoma3WhatisOpticNerve?“Cable“thattransmitimagesignalstobrainWhatisOpticNerve?“Cable“th4HigherIOPisthemostimportantcauseleadingtothedamagepressureOpticnerveWhatcausesopticnerveinjuryinGlaucoma？Twocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesHigherIOPisthemostimporta5Glaucomadamageformation青光眼損傷形成Glaucomadamageformation6Anteriorchamber:前房Posteriorchamber:后房pupil:瞳孔Iris:虹膜Anteriorchamberangle:前房角Cornea:角膜ciliarybody:睫狀體Anteriorchamber:前房Posterior7Glaucomaisagroupofdiseasesthatcandamagetheeye'sopticnerveandresultinvisionlossandblindness.Aseriesoftestperformedbyyoureyedoctorwillhelptodeterminewhetheryouhaveglaucomaorlikelytodevelopglaucoma.The4thAffiliatedHospitalofChinaMedicalUniversity3rd–Ophthalmoscopy眼底鏡OpenAngleGlaucomaThemeshwork小梁網(wǎng)–istheeye’sdrainIfglaucomaisleftuntreated,damageincreases,whichmayeventuallyleadtoblindness.Thedamagesaremostlycausedbyincreasedpressureofwater-aqueoushumor(房水）intheeyeReducedsidevision,centralvisionintactMustbetreatedasamedicalemergency—seeyourophthalmologistimmediately.NormaldrainTheCiliaryBody睫狀體–Redeye,painintheeye,GlaucomadamageformationFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）2nd–Tonometry眼壓計HavepoorvisionHowoftenshouldIgetmyeyeexaminedTheangleisnarrowerthannormal.inGlaucoma？Glaucomadamageformation青光眼損傷形成NormalDrainagePicture正常房水流出通道Themeshwork小梁網(wǎng)–istheeye’sdrainTheCiliaryBody睫狀體–Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaLensGlaucomaisagroupofdisease8Whoismostlikelytogetglaucoma?

Youaremorelikelytogetglaucomaifyou:HavefamilymemberswithglaucomaAreover45yearsofageHavepoorvisionHavediabetes（糖尿?。㏕akesteroidmedication（使用激素）Previouseyeinjury.Whoismostlikelytogetglau9ClassificationonMechanismClassificationonMechanism10

AqueousFluid

NormalDrainage

:goodflow正常房水流出通道TheCiliaryBody睫狀體–

Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaanteriorchamberangle前房角Themeshwork小梁網(wǎng)–istheeye’sdrainAqueousFluidNormalDrainage11NormaldrainNormaldrain12BlockedDrainageholesTheangleisnarrowerthannormal.Ifwatercan’tfloweasilythroughtheopeninginthepupil,theirispushesforwardandblocksthedrainageholes.anteriorchamberangle前房角Closed-angleGlaucoma閉角型青光眼BlockedDrainageholesTheangl13Closed-angleglaucomaClosed-angleglaucoma14Closed-angleGlaucomaThedrainageangleoftrabecularmeshworkbecomesblockedbytheiris

IOPbuildsupveryfast.

Symptomsincludesevereeyeorbrowpain,rednessoftheeye,decreasedorblurredvision.Mustbetreatedasamedicalemergency—seeyourophthalmologistimmediately.Closed-angleGlaucomaThedrain15OpenAngleGlaucoma開角型青光眼CloggedDrainageholesTheanglebetweentheirisandthecorneaisnormal,butthedrainageholesgetcloggedfromtheinside.anteriorchamberangle前房角OpenAngleGlaucomaCloggedDra16OpenAngleGlaucomaOpenAngleGlaucoma17OpenAngleGlaucoma

Trabecularmeshworkbecomeslessefficientatdrainingaqueoushumor.Intraocularpressure(IOP)buildsup,whichleadstodamageoftheopticnerve.Damagetotheopticnerveoccursatdifferenteyepressuresamongdifferentpatients.Typically,glaucomahasnosymptomsinitsearlystages.OpenAngleGlaucoma

Trabecular18Closed-angleGlaucomaTwocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesIfglaucomaisleftuntreated,damageincreases,whichmayeventuallyleadtoblindness.Damagetotheopticnerveoccursatdifferenteyepressuresamongdifferentpatients.Trabecularmeshworkbecomeslessefficientatdrainingaqueoushumor.Glaucomaisalifetimedisease(青光眼為終身性疾病)Glaucoma:theconceptFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）Improvesbloodflowtotheopticnerve.Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaWhenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaMustbetreatedasamedicalemergency—seeyourophthalmologistimmediately.Themeshwork小梁網(wǎng)–istheeye’sdrainUnder45yearsold:The4thAffiliatedHospitalofChinaMedicalUniversityNormaldrainanteriorchamberangleIfyouhaveriskfactorforglaucoma*Glaucomaisagroupofdiseasesthatcandamagetheeye'sopticnerveandresultinvisionlossandblindness.HowoftenshouldIgetmyeyeexaminedGlaucoma:DiagnosisVisionloss

Tunnel

vision管狀視野Redeye,painintheeye,眼痛、睫狀充血HaloaroundlightsBlurredvision視物模糊SYMPTOMSGlaucoma:Symptoms癥狀虹視Closed-angleGlaucomaVision19Glaucoma:SymptomsNormalvision正常視野Reducedsidevision,centralvisionintact周邊視野局限缺損Tunnelvision管狀視野Glaucoma:SymptomsNormalvisio20HowcanIfindoutifIhaveglaucoma?Aseriesoftestperformedbyyoureyedoctorwillhelptodeterminewhetheryouhaveglaucomaorlikelytodevelopglaucoma.HowcanIfindoutifIhave21Glaucoma:Diagnosis1st–HistoryandGeneralExamination2nd–Tonometry眼壓計4th–Perimetry視野計3rd–Ophthalmoscopy眼底鏡Glaucoma:Diagnosis1st–Histo22Howisglaucomatreated?Howisglaucomatreated?23Eyedrops

PillsLasersurgeryEyeoperationsCombinationmethodTreatmentOptionsEyedropsPillsLasersurgeryEy24Thepurposeoftreatmentistopreventfurtherlossofvision.Thisisimportantbecauselossofvisionduetoglaucomaisirreversible.Thepurposeoftreatmentisto25WillIgoblindbecauseofglaucoma?

Ifglaucomaisleftuntreated,damageincreases,whichmayeventuallyleadtoblindness.WillIgoblindbecauseofgla26RegulareyeexaminationsRegularintakeofmedicationsasinstructedbytheeyedoctorsTherefore,youshouldhaveRegulareyeexaminationsRegula27HowoftenshouldIgetmyeyeexaminedIfyouhavenoriskfactorsforglaucoma*Ifyouhaveriskfactorforglaucoma*Under45yearsold:Every4yearsEvery2years45yearsandolder:Every2yearsEveryyearIfyouarediagnosedwithglaucoma,yourdoctorwillsetatreatmentcyclebaseduponyourmedicalneeds.*Riskfactorsforglaucoma危險因素:Familyhistory,hyperopia,myopia(nearsightedness),previouseyeinjury,lowbloodpressure,diabetes,longexposuretocortisone家族史、遠視近視眼、外傷史、低血壓、糖尿病、激素長期使用HowoftenshouldIgetmyeye28HavepoorvisionAnteriorchamber:前房Posteriorchamber:后房pupil:瞳孔Iris:虹膜Themeshwork小梁網(wǎng)–istheeye’sdrainUnder45yearsold:GlaucomadamageformationTobaccocanworsenthedisease.Reducedsidevision,centralvisionintactTwocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesBlurredvisionTunnelvision管狀視野Glaucoma:DiagnosisDonotstoptakingorchangingyourmedicationswithoutfirstconsultingyourdoctor(不能私自改變用藥）Twocauses:Mechanicalforces(introcularpressure:IOP)andvascularforces3rd–Ophthalmoscopy眼底鏡Tobaccocanworsenthedisease.NormalvisionEyeoperationsTobaccocanworsenthedisease.inGlaucoma？VisionlossHigherIOPisthemostimportantcauseleadingtothedamagePreviouseyeinjury.3rd–Ophthalmoscopy眼底鏡NormalDrainagePictureHavepoorvisionGlaucoma:DiagnosisanteriorchamberangleHowoftenshouldIgetmyeyeexaminedRedeye,painintheeye,Doesdiet,exercise,orchange

inbehaviorshelp?However,withearlytreatment,youcanoftenprotectyoureyesagainstseriousvisionloss.Anteriorchamberangle:前房角Cornea:角膜ciliarybody:睫狀體Theangleisnarrowerthannormal.Glaucoma:SymptomsGlaucoma:DiagnosisWhenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaNormalvisionFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）“Cable“thattransmitimagesignalstobrainThisisimportantbecauselossofvisionduetoglaucomaisirreversible.Tobaccocanworsenthedisease.Tobaccocanworsenthedisease.Doesdiet,exercise,orchange

inbehaviorshelp?Exercisemaybebeneficialasit:LowerseyepressureImprovesbloodflowtotheopticnerve.Avoidsmokingorsecond-handsmoke.Tobaccocanworsenthedisease.HavepoorvisionPreviouseyei29RememberTreatmentforglaucomarequiresa“team”madeupofbothyouandyourdoctor(ophthalmologist)(患者和醫(yī)生組成治療團隊）Glaucomaisalifetimedisease(青光眼為終身性疾病)Yourdoctorcanprescribetreatmentforglaucoma,butonlyyoucanmakesuretoputyoureyedropsregularly（患者自己保證按時用藥）Donotstoptakingorchangingyourmedicationswithoutfirstconsultingyourdoctor(不能私自改變用藥）Frequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）Remember,Itisyourvision,andthereforeit’syourresponsibilitytomaintainitRememberTreatmentforglaucoma30The4thAffiliatedHospitalofChinaMedicalUniversity2nd–Tonometry眼壓計Therefore,youshouldhaveGlaucomadamageformationNormaldrainNormalDrainagePictureThe4thAffiliatedHospitalofChinaMedicalUniversity*Riskfactorsforglaucoma危險因素:HowoftenshouldIgetmyeyeexaminedanteriorchamberangleTobaccocanworsenthedisease.AqueousFluidNormalDrainage:goodflowTobaccocanworsenthedisease.Redeye,painintheeye,Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaGlaucoma:DiagnosisTobaccocanworsenthedisease.Under45yearsold:“Cable“thattransmitimagesignalstobrainTypically,glaucomahasnosymptomsinitsearlystages.anteriorchamberangle“Cable“thattransmitimagesignalstobrainFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）Donotstoptakingorchangingyourmedicationswithoutfirstconsultingyourdoctor(不能私自改變用藥）Aseriesoftestperformedbyyoureyedoctorwillhelptodeterminewhetheryouhaveglaucomaorlikelytodevelopglaucoma.Theanglebetweentheirisandthecorneaisnormal,butthedrainageholesgetcloggedfromtheinside.Glaucoma:DiagnosisAseriesoftestperformedbyyoureyedoctorwillhelptodeterminewhetheryouhaveglaucomaorlikelytodevelopglaucoma.Thedamagesaremostlycausedbyincreasedpressureofwater-aqueoushumor(房水）intheeyeWhenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaTwocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesHavediabetes（糖尿?。〨laucomadamageformationHowoftenshouldIgetmyeyeexamined2nd–Tonometry眼壓計anteriorchamberangleTakesteroidmedication（使用激素）Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaRedeye,painintheeye,Under45yearsold:AqueousFluidNormalDrainage:goodflowRedeye,painintheeye,Glaucoma:SymptomsThe4thAffiliatedHospitalof31GLAUCOMA

QUBO曲勃The4thAffiliatedHospitalofChinaMedicalUniversityGLAUCOMA

QUBO32ItmaybeItmaybe33Glaucoma:theconceptGlaucomaisagroupofdiseasesthatcandamagetheeye'sopticnerveandresultinvisionlossandblindness.However,withearlytreatment,youcanoftenprotectyoureyesagainstseriousvisionloss.Thedamagesaremostlycausedbyincreasedpressureofwater-aqueoushumor(房水）intheeyeGlaucoma:theconceptGlaucoma34WhatisOpticNerve?“Cable“thattransmitimagesignalstobrainWhatisOpticNerve?“Cable“th35HigherIOPisthemostimportantcauseleadingtothedamagepressureOpticnerveWhatcausesopticnerveinjuryinGlaucoma？Twocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesHigherIOPisthemostimporta36Glaucomadamageformation青光眼損傷形成Glaucomadamageformation37Anteriorchamber:前房Posteriorchamber:后房pupil:瞳孔Iris:虹膜Anteriorchamberangle:前房角Cornea:角膜ciliarybody:睫狀體Anteriorchamber:前房Posterior38Glaucomaisagroupofdiseasesthatcandamagetheeye'sopticnerveandresultinvisionlossandblindness.Aseriesoftestperformedbyyoureyedoctorwillhelptodeterminewhetheryouhaveglaucomaorlikelytodevelopglaucoma.The4thAffiliatedHospitalofChinaMedicalUniversity3rd–Ophthalmoscopy眼底鏡OpenAngleGlaucomaThemeshwork小梁網(wǎng)–istheeye’sdrainIfglaucomaisleftuntreated,damageincreases,whichmayeventuallyleadtoblindness.Thedamagesaremostlycausedbyincreasedpressureofwater-aqueoushumor(房水）intheeyeReducedsidevision,centralvisionintactMustbetreatedasamedicalemergency—seeyourophthalmologistimmediately.NormaldrainTheCiliaryBody睫狀體–Redeye,painintheeye,GlaucomadamageformationFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）2nd–Tonometry眼壓計HavepoorvisionHowoftenshouldIgetmyeyeexaminedTheangleisnarrowerthannormal.inGlaucoma？Glaucomadamageformation青光眼損傷形成NormalDrainagePicture正常房水流出通道Themeshwork小梁網(wǎng)–istheeye’sdrainTheCiliaryBody睫狀體–Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaLensGlaucomaisagroupofdisease39Whoismostlikelytogetglaucoma?

Youaremorelikelytogetglaucomaifyou:HavefamilymemberswithglaucomaAreover45yearsofageHavepoorvisionHavediabetes（糖尿?。㏕akesteroidmedication（使用激素）Previouseyeinjury.Whoismostlikelytogetglau40ClassificationonMechanismClassificationonMechanism41

AqueousFluid

NormalDrainage

:goodflow正常房水流出通道TheCiliaryBody睫狀體–

Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaanteriorchamberangle前房角Themeshwork小梁網(wǎng)–istheeye’sdrainAqueousFluidNormalDrainage42NormaldrainNormaldrain43BlockedDrainageholesTheangleisnarrowerthannormal.Ifwatercan’tfloweasilythroughtheopeninginthepupil,theirispushesforwardandblocksthedrainageholes.anteriorchamberangle前房角Closed-angleGlaucoma閉角型青光眼BlockedDrainageholesTheangl44Closed-angleglaucomaClosed-angleglaucoma45Closed-angleGlaucomaThedrainageangleoftrabecularmeshworkbecomesblockedbytheiris

IOPbuildsupveryfast.

Symptomsincludesevereeyeorbrowpain,rednessoftheeye,decreasedorblurredvision.Mustbetreatedasamedicalemergency—seeyourophthalmologistimmediately.Closed-angleGlaucomaThedrain46OpenAngleGlaucoma開角型青光眼CloggedDrainageholesTheanglebetweentheirisandthecorneaisnormal,butthedrainageholesgetcloggedfromtheinside.anteriorchamberangle前房角OpenAngleGlaucomaCloggedDra47OpenAngleGlaucomaOpenAngleGlaucoma48OpenAngleGlaucoma

Trabecularmeshworkbecomeslessefficientatdrainingaqueoushumor.Intraocularpressure(IOP)buildsup,whichleadstodamageoftheopticnerve.Damagetotheopticnerveoccursatdifferenteyepressuresamongdifferentpatients.Typically,glaucomahasnosymptomsinitsearlystages.OpenAngleGlaucoma

Trabecular49Closed-angleGlaucomaTwocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesIfglaucomaisleftuntreated,damageincreases,whichmayeventuallyleadtoblindness.Damagetotheopticnerveoccursatdifferenteyepressuresamongdifferentpatients.Trabecularmeshworkbecomeslessefficientatdrainingaqueoushumor.Glaucomaisalifetimedisease(青光眼為終身性疾病)Glaucoma:theconceptFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）Improvesbloodflowtotheopticnerve.Whenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaWhenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaMustbetreatedasamedicalemergency—seeyourophthalmologistimmediately.Themeshwork小梁網(wǎng)–istheeye’sdrainUnder45yearsold:The4thAffiliatedHospitalofChinaMedicalUniversityNormaldrainanteriorchamberangleIfyouhaveriskfactorforglaucoma*Glaucomaisagroupofdiseasesthatcandamagetheeye'sopticnerveandresultinvisionlossandblindness.HowoftenshouldIgetmyeyeexaminedGlaucoma:DiagnosisVisionloss

Tunnel

vision管狀視野Redeye,painintheeye,眼痛、睫狀充血HaloaroundlightsBlurredvision視物模糊SYMPTOMSGlaucoma:Symptoms癥狀虹視Closed-angleGlaucomaVision50Glaucoma:SymptomsNormalvision正常視野Reducedsidevision,centralvisionintact周邊視野局限缺損Tunnelvision管狀視野Glaucoma:SymptomsNormalvisio51HowcanIfindoutifIhaveglaucoma?Aseriesoftestperformedbyyoureyedoctorwillhelptodeterminewhetheryouhaveglaucomaorlikelytodevelopglaucoma.HowcanIfindoutifIhave52Glaucoma:Diagnosis1st–HistoryandGeneralExamination2nd–Tonometry眼壓計4th–Perimetry視野計3rd–Ophthalmoscopy眼底鏡Glaucoma:Diagnosis1st–Histo53Howisglaucomatreated?Howisglaucomatreated?54Eyedrops

PillsLasersurgeryEyeoperationsCombinationmethodTreatmentOptionsEyedropsPillsLasersurgeryEy55Thepurposeoftreatmentistopreventfurtherlossofvision.Thisisimportantbecauselossofvisionduetoglaucomaisirreversible.Thepurposeoftreatmentisto56WillIgoblindbecauseofglaucoma?

Ifglaucomaisleftuntreated,damageincreases,whichmayeventuallyleadtoblindness.WillIgoblindbecauseofgla57RegulareyeexaminationsRegularintakeofmedicationsasinstructedbytheeyedoctorsTherefore,youshouldhaveRegulareyeexaminationsRegula58HowoftenshouldIgetmyeyeexaminedIfyouhavenoriskfactorsforglaucoma*Ifyouhaveriskfactorforglaucoma*Under45yearsold:Every4yearsEvery2years45yearsandolder:Every2yearsEveryyearIfyouarediagnosedwithglaucoma,yourdoctorwillsetatreatmentcyclebaseduponyourmedicalneeds.*Riskfactorsforglaucoma危險因素:Familyhistory,hyperopia,myopia(nearsightedness),previouseyeinjury,lowbloodpressure,diabetes,longexposuretocortisone家族史、遠視近視眼、外傷史、低血壓、糖尿病、激素長期使用HowoftenshouldIgetmyeye59HavepoorvisionAnteriorchamber:前房Posteriorchamber:后房pupil:瞳孔Iris:虹膜Themeshwork小梁網(wǎng)–istheeye’sdrainUnder45yearsold:GlaucomadamageformationTobaccocanworsenthedisease.Reducedsidevision,centralvisionintactTwocauses:Mechanicalforces(introcularpressure:IOP)andvascularforcesBlurredvisionTunnelvision管狀視野Glaucoma:DiagnosisDonotstoptakingorchangingyourmedicationswithoutfirstconsultingyourdoctor(不能私自改變用藥）Twocauses:Mechanicalforces(introcularpressure:IOP)andvascularforces3rd–Ophthalmoscopy眼底鏡Tobaccocanworsenthedisease.NormalvisionEyeoperationsTobaccocanworsenthedisease.inGlaucoma？VisionlossHigherIOPisthemostimportantcauseleadingtothedamagePreviouseyeinjury.3rd–Ophthalmoscopy眼底鏡NormalDrainagePictureHavepoorvisionGlaucoma:DiagnosisanteriorchamberangleHowoftenshouldIgetmyeyeexaminedRedeye,painintheeye,Doesdiet,exercise,orchange

inbehaviorshelp?However,withearlytreatment,youcanoftenprotectyoureyesagainstseriousvisionloss.Anteriorchamberangle:前房角Cornea:角膜ciliarybody:睫狀體Theangleisnarrowerthannormal.Glaucoma:SymptomsGlaucoma:DiagnosisWhenthisdrainageofthefluidgetsblocked,excesspressureisformedleadingtoGlaucomaNormalvisionFrequenteyeexaminationsandtestsarecriticaltomonitoryoureyesforanychanges（定期檢查）“Cable“thattransmitimagesignalstobrainThisisimportantbecauselossofvisionduetoglaucomaisirreversible.Tobaccocanworsenthedisease.Tobaccocanworsenthedisease.Doesdiet,exercise,orchange

inbehaviorshelp?Exercisemaybebeneficialasit:LowerseyepressureImprovesbloodflowtotheopticnerve.Avoidsmokingorsecond-handsmoke.Tobaccocanworsenthedisease.HavepoorvisionPreviouseyei60RememberTreatmentforglaucomarequiresa“team”madeupofbothyouandyourdoctor(ophthalmologist)(患者和醫(yī)生組成治療團隊）Glaucomaisalifetimedisease(青光眼為終身性疾病)Yourdoctorcanprescribetreatmentforglaucoma,butonlyyoucanmakesuretoputyoureyedropsregularly