CASE 1:
History / Chief Complaint:
- A 57-year old African American male with degenerative myopia presents for a follow up for glaucoma suspicion secondary to asymmetric optic nerves
- Seen initially in Primary Care in 2020 and second visit for glaucoma evaluation 6 months later
- The patient has no family history of glaucoma and has never used IOP lowering medications
- History of decreased BCVA OS due to previous macular CNVM that has been stable and inactive
Glaucoma Profile:
- Thin pachs 485/472
- Gonio open to CB 360 OD and OS
- IOP Trend:
- OD 20 mmHg (2020) → 23 mmHg (3 months later)
- OS 18 mmHg (2020) → 23 mmHg (3 months later)
Clinical Findings:
- Rx: OD: -17.00 -3.25 x 180 (BCVA: 20/40), OS: BAL (BCVA: 8/225)
- IOP 6 months from LEE: OD & OS 17 mmHg