A 58-year-old woman presents to the ophthalmology clinic complaining of gradual loss of peripheral vision in both eyes, which she has only recently noticed. She denies any pain, redness, or trauma. Her past medical history is significant for hypertension and type 2 diabetes. On examination, her intraocular pressure is elevated, and fundoscopy reveals cupping of the optic disc. Visual field testing confirms peripheral field deficits. What is the most likely diagnosis, and what is the primary mechanism of vision loss in this condition? What is the first line treatment used?
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The most likely diagnosis is primary open-angle glaucoma.
Vision loss occurs due to optic nerve damage from elevated intraocular pressure.
First-line treatment involves topical prostaglandin analogs to reduce intraocular pressure.
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Increased IOP, cupping of optic disc reveals it probably as Primary open angle glaucoma.
It occur due to damage in the optic nerve and can lead to vision loss.
First line treatment of primary open ngle glaucoma is prostaglandin analogue- LATANOPROST- od
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The most likely diagnosis is primary open-angle glaucoma.
Gradual loss of peripheral vision and elevated IOP are key features.
Cupping of the optic disc and visual field deficits confirm the diagnosis.
The primary mechanism is optic nerve damage due to increased IOP.
This damage leads to retinal ganglion cell death and vision loss.
First-line treatment involves reducing intraocular pressure.
Prostaglandin analogs, like latanoprost, are commonly used.
They are effective and convenient with once-daily dosing.
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open angle glaucoma
prostaglandin analogs like latanoprost can be used as first line Tx
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This sounds like Primary Open Angle Glaucoma, where high eye pressure silently damages the optic nerve, causing peripheral vision loss. First-line treatment involves prostaglandin analogs like Latanoprost.
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primary open angle glaucoma