Which of the following is the biggest risk factor for primary open angle glaucoma?
a. Asian ancestry b. smaller diurnal pressure IOP changes c. thin corneas d. large optic disks Answer: Asians are more likely to develop acute angle-closure glaucoma, not POAG. Everyone has diurnal eye pressure changes, and there is some evidence that glaucomatous patients have larger shifts in their pressure throughout the day. Large optic disks aren’t concerning, though large cupping of a disk could indicate nerve fiber loss from glaucoma. Thin corneas ARE associated with glaucoma, as shown by the famous OHTS clinical trial. We measure every new glaucoma patient’s corneal thickness with a small ultrasound pachymeter. The correct answer is (c). 9. A 27-year-old contact lens wearer presents to the ER complaining of ocular irritation. On exam he has a small 2mm corneal abrasion. You should a. treat with erythromycin ointment b. treat with ciprofloxacin drops c. bandage contact lens for comfort and speed reepitheliazation d. patch the eye and follow-up in 72 hours Answer: You need to be
