Glaucoma Case 10           David Kinshuck

Patient

• age 76, female, 8y chronic open angle glaucoma
• despite good pressure control left visual field has continued to deteriorate
• this is unusual...good control usually prevents deterioratioin. The cause of the increasing visaul field loss has not been found.
• on presentation there was full visual field left eye, now 8 years later, the left field is worse
• pressures were controlled 1--16,a little higher than ideal
• ideal pressure for this patient with deteriorating field =<11
• Patient is using the maximum drops safe ...xalatan night and azopt three times/day
• Patient has not been well enough for trabeculectomy. At this stage there is a choice...accept continuing deerioration or trabeculectomy with mitomycin aiming for a pressure of 10