1. Symptoms
   1. increased IOP
   2. visual acuity
      1. Rt eye
         1. 6/24
      2. Lt eye
         1. 6/24
   3. pinhole test
      1. Rt eye
         1. 6/9
      2. Lt eye
         1. 6/9
   4. IOP
      1. Rt eye
         1. 28 mmHg
      2. Lt eye
         1. 22 mmHg
   5. refractive correction
      1. Rt eye
         1. - 1.5 SPH.
      2. Lt eye
         1. - 1.5 SPH.
   6. optic disc cupping
   7. loss in upper temporal field
2. Plan
   1. Diagnosis
      1. increased IOP
         1. pressure inside the eye.
         2. 10-21mmHg.
         3. It is measured using a tonometer.
         4. causes if increased IOP
            1. Excessive aqueous production
            2. Inadequate aqueous drainage
            3. Medications
            4. Eye trauma
      2. History taking
      3. Physical examination
      4. Investigations
   2. Treatment
      1. Non-pharmacological
      2. pharmacological
         1. prostaglandins analogues
         2. beta blockers
         3. alpha adrenergic agonist
         4. carbonic anhydrase inhibitors
         5. osmotic diuretics
      3. Surgical
         1. iridotomy
         2. trabeculoplasty
         3. trabeculectomy
3. Assessment
   1. Glucoma
      1. Definition
      2. Types
         1. Open-angle glaucoma
         2. Angle-Closure Glaucoma
      3. Risk Factors
         1. African-American, Irish, Russian, Japanese, Hispanic, Inuit, or Scandinavian descent
         2. Being over the age of 40
         3. A family history of glaucoma
         4. Poor vision
         5. Diabetes
         6. Certain steroid medications, such as prednisone
         7. Trauma to the eye or eyes
      4. S & S
         1. Open-angle glaucoma
            1. Slow loss of peripheral vision
         2. Angle-Closure Glaucoma
            1. Sudden, severe pain in one eye
            2. Decreased or cloudy vision
            3. Nausea and vomiting
            4. Red eye
      5. Prognosis
4. Signs
   1. blurred vision
      1. causes
         1. Trauma to the Eye or Head
         2. Ocular migraines or migraine headaches.
         3. Chronic dry eyes
         4. Stroke, TIA, brain tumor
         5. Eye infections like (iritis and keratitis )
         6. toxoplasmosis
         7. Pregnancy
         8. Eye drops and medication
         9. Over-wearing contact lenses
   2. headache
5. Demographics
   1. 34 years old, school teacher
   2. Presented with headache and Blurring of vision
   3. Findings: Impaired visual acuity and elevated IOP