Glaucoma Evaluation – Part 1 by Dr. Arjun Gokani

Online Optom Learning Series (OOLS) Sessions

Dr. Arjun Gokani, the head of the glaucoma department at KEM hospital, Mumbai, begins by listing the different types of glaucoma. He points out the importance of history taking to cover aspects for all the different cause of glaucoma.

We learn in-depth about the different signs and symptoms we need to look out for in glaucoma patients. We understand the need for specifically asking about:

  1. Family history 
  2. Drug history 
  3. Allergy history 
  4. Lifestyle history 
  5. Systemic illness 
  6. Ocular history 

We also learn about normal-tension glaucoma, wherein specific history questions need to be asked.

For the second half of the talk, Dr. Gokani talks about Intra-Ocular pressure (IOP). Firstly, we learn about the different factors that can affect IOP, as listed below:

  1. Raised episcleral venous pressure 
  2. Pressure on the eye 
  3. Factors that lower IOP 

After learning about the factors that can affect IOP measurement, we learn in-depth of the different methods for IOP measurements:

  1. Indentation Tonometry 
  2. Applanation Tonometry 
  3. Non-contact Tonometry 

Following this, we conclude the session with a Q and A for the live audience.