Glaucoma Work-Up
1. Intraocular Pressure Measurement (IOP) – This is usually done through tonometry, such as Applanation Tonometry, to check for elevated pressure inside the eye, which is a major risk factor for glaucoma.
2. Optic Nerve Head Examination – A detailed examination using a slit lamp or fundus camera to assess the optic disc for signs of damage, cupping, or other abnormalities.
3. Pachymetry – A measurement of corneal thickness, as thinner corneas can be associated with a higher risk of glaucoma.
4. Visual Field Testing – To detect any peripheral vision loss, a common early symptom of glaucoma.
5. Gonioscopy – A test used to examine the angle of the eye where the iris meets the cornea to assess whether it is open or closed, which helps determine the type of glaucoma.
6. OCT (Optical Coherence Tomography) – Imaging of the optic nerve and retinal nerve fiber layer to detect structural changes.
7. Fundus Fluorescein Angiography (if needed) – To assess the retinal vasculature and identify any abnormal blood flow or damage.
Medical Equipment Needed for Glaucoma Work-Up
- Tonometry Device (Applanation Tonometer or Tonopen)
- Slit Lamp (for detailed eye examination)
- Pachymeter (for corneal thickness measurement)
- Visual Field Analyzer (for detecting peripheral vision loss)
- Gonioscope (for angle examination)
- Optical Coherence Tomography (OCT) Machine
- Fundus Camera (for optic nerve head and retinal imaging)
- Fluorescein Dye (for angiography, if required)
- Sterile Gloves and Disinfectants (for hygiene and equipment sterilization)
- Patient Headrest and Chin Rest (for proper positioning during tests)