Klasifikasi Glaukoma Berdasarkan Mekanisme Peningkatan Tekanan Intraokuler
A. Open-angle glaucoma | B. Angle-closure glaucoma |
1. Pretrabecular membranes: All of these may progress to angle-closure glaucoma due to contraction of the pretrabecular membranes. | 1. Pupillary block (iris bombé) |
a. Neovascular glaucoma | a. Primary angle-closure glaucoma |
b. Epithelial downgrowth | b. Seclusio pupillae (posterior synechiae) |
c. ICE syndrome | c. Intumescent lens |
2. Trabecular abnormalities | d. Anterior lens dislocation |
a. Primary open-angle glaucoma | e. Hyphema |
b. Congenital glaucoma | 2. Anterior lens displacement |
c. Pigmentary glaucoma | a. Ciliary block glaucoma |
d. Exfoliation syndrome | b. Central retinal vein occlusion |
e. Steroid-induced glaucoma | c. Posterior scleritis |
f. Hyphema | d. Following retinal detachment surgery |
g. Angle contusion or recession | 3. Angle crowding |
h. Iridocyclitis (uveitis) | a. Plateau iris |
i. Phacolytic glaucoma | b. Intumescent lens |
3. Posttrabecular abnormalities | c. Mydriasis for fundal examination |
a. Raised episcleral venous pressure | 4. Peripheral anterior synechiae |
a. Chronic angle closure | |
b. Secondary to flat anterior chamber | |
c. Secondary to iris bombé | |
d. Contraction of pretrabecular membranes |
Referensi:
Vaughan and Asbury's General Ophthalmology 17th Edition (McGraw-Hill) 2007