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Glaucoma lasers

Total questions: 4

Worksheet time: 3mins

Name
Class
Date
1.
A patient returns to your office one month after having had an LPI OD.  She is complaining of diplopia and haloes.  What is the most likely location of her LPI?
a)
3 o'clock
b)
12 o'clock
c)
9 o'clock
d)
2 o'clock
2.
A new patient comes to your clinic complaining of chronic poor vision in his left eye.  On exam he is found to have a chronic funnel RD OS and BCVA of 20/HM.  He is noted to have an IOP of 40 and notes intermittent pain OD.  He is on 3 topical glaucoma medications and is a poorly controlled diabetic.  Gonioscopy reveals diffuse PAS OS without angle structure visibility.  What is the next best step in management for this patient?
a)
oral acetazolamide
b)
transscleral diode CPC
c)
selective laser trabeculoplasty
d)
trabeculectomy
3.
What is the long-term initial success rate (5-year) for argon laser trabeculoplasty?
a)
50%
b)
75%
c)
33%
d)
95%
4.
You are treating a patient with anatomic narrow angles with LPI.  The patient has light blue irides and you are performing the procedure with argon laser.  How will you adjust your laser settings, if at all?
a)
increase power, decrease duration
b)
decrease power, decrease duration
c)
increase power, increase duration
d)
No changes necessary