1.

A 50 years old man, came to clinic complaint headache and pain in her right eye,
blurring, nausea and vomiting. On ophthalmic examination VODS : 6/6 TIODS: 24
mmHg gonioscopy ODS reveals 2 quadrants of trabeclar meshwork, Photo
Fundus,Humfrey,OCT in normal limit.

a.POAG
b.OHT
c.Glaucoma Suspect
d.OAG
e.PAC
Jawaban :

b. OHT (AAO 2014-2015) BOOK 10 Glaucoma Page 83-84

2. A 50 years old man, came to clinic complaint headache and pain in her right eye,
blurring, nausea and vomiting. On ophthalmic examination VODS : 6/6 TIODS: 24
mmHg gonioscopy reveals open angle, Photo Fundus,Humfrey,OCT in normal limit.
The best initial treatment for this condition?

A.Observation
B.Medical Treatment
C.LPI
D.Trabeculectomi
E. Trabeculectomy + implant
Jawaban :

Observation (AAO 2014-2015) BOOK 10 Glaucoma Page 83-84

3. A 50 years old man presents with diminished peripheral vision on the right eye since
2 days ago. He complains that he feels like the world is closing in on him, He also
notes that he has trouble looking at lights as they all appear to be surrounded by halos.
On physical examination found visual acuity 1/300 right eye and left eye 6/6.
Gonioscopy reveals multiple fine vessels that cross the trabecular meshwork. In the
right eye appears eyelid spasm, conjunctival hyperemia, corneal edema, COA shallow,
low-grade anterior chamber reaction with small, stellate, pancorneal KP, posterior
subcapsular cataracts pupil diameter of 7 mm and a negative reflex. IOP 48 mmHg right
eye and left eye 15 mmHg. history DM (-), history hypertension (-). What the diagnosis
of this condition?

A.Glaucomatocyclitic crisis
 B.Neovascularization Glaucoma
C.Fuchs heterochromic iridocyclitis
D.Secondary glaucoma

Jawaban :
Fuchs heterochromic iridocyclitis
(AAO 2014-2015) BOOK 10 Glaucoma Page 83-84

4.45 years old man presents with diminished peripheral vision on the right eye since 2
days ago. He complains that he feels like the world is closing in on him, He also notes
that he has trouble looking at lights as they all appear to be surrounded by halos. On
physical examination found visual acuity 1/300 right eye and left eye 6/6. Gonioscopy
OD cannot be assessed due to corneal edema. Gonioscopy OS reveals 2 quadrants of
trabeclar meshwork. In the right eye appears eyelid spasm, conjunctival hyperemia.
COA ODS VH2. OD pupil diameter of 7 mm and a negative reflex. IOP 48 mmHg right
eye and left eye 15 mmHg. funduscopy in the left eye in normal limit. What is the
diagnosis of this condition?

A.POAG ODS
B.PACS ODS
C.APAC OD + PACS OS
D.PACG OD + APAC OS
E.PACS OD + APAC OS
Jawaban :

APAC OD + PACS OS
(AAO 2014-2015) BOOK 10 Glaucoma Page 114

5.45 years old man presents with diminished peripheral vision on the right eye since 2
days ago. He complains that he feels like the world is closing in on him, He also notes
that he has trouble looking at lights as they all appear to be surrounded by halos. On
physical examination found visual acuity 1/300 right eye and left eye 6/6. Gonioscopy
OD cannot be assessed due to corneal edema. Gonioscopy OS reveals 2 quadrants of
trabeclar meshwork. In the right eye appears eyelid spasm, conjunctival hyperemia.
COA ODS VH2. OD pupil diameter of 7 mm and a negative reflex. IOP 48 mmHg right
eye and left eye 15 mmHg. funduscopy in the left eye in normal limit. What is the
definitive treatment of this condition?
 A.laser iridotomy OD
B.Trabeculectomy OD
C.Trabeculectmy + Implant
D.Filtering surgery + Implant
E.Implant

Jawaban :
Laser iridotomy
(AAO 2014-2015) BOOK 10 Glaucoma Page 114-115

6.A 57 years old female complaint about blurry vision in the both eye since 1 weeks
ago, on ophthalmology examination VODS: 3/60 TIODS: 30,4 mmHg, COA ODS VH2,
Gonioscopy dynamic reveals PAS, static trabecular meshwork in 2 kuadran.
Funduscopy ODS found c/d 0,9. What is the diagnosis?
A.PAC
B.Subacute or Intermittent Angle Closure
C.Acute Primary Angle Closure
D.Chronic Angle Closure
E.OAG

Jawaban :
Chronic angle closure
(AAO 2014-2015) BOOK 10 Glaucoma Page 117

7.A 57 years old female complaint about blurry vision in the both eye since 1 weeks
ago, on ophthalmology examination VODS: 3/60 TIODS: 30,4 mmHg, COA ODS VH2,
Gonioscopy dynamic reveals PAS, static trabecular meshwork in 2 kuadran.
Funduscopy ODS found c/d 0,9. The treatment of this condition?
A.Peripheral Iridectomy ODS
B.Trabeculectomy ODS
C.Medical treatment ODS
D.Iridoplasty ODS
E.filtering surgery + implant ODS

Jawaban :
Peripheral Iridectomy ODS
(AAO 2014-2015) BOOK 10 Glaucoma Page 117-118

8.Mr. A came to clinic present with a pain in the left eye, visible red eye, pain, blurring
migraine, nausea and vomiting since 2 days ago. Patient also complaint blurry vision in
the left eye since 1 years ago, on ophthalmology examination VOD: 6/21 VOS: 1/60
TIOD: 18,5 mmHg TIOS: 59,1 mmHg. Gonioscopy OD cannot be assessed due to
corneal edema. In the left eye appears eyelid spasm, conjunctival hyperemia. COA OS
VH2, lens opaque grd III OS pupil diameter of 7 mm and a negative reflex. What is the
diagnosis?
A.Phacomorphic glaucoma OS
B.Phacoantigenic Glaucoma OS
C.Phacolytic Glaucoma OS
D.Lens particle glaucoma OS

Jawaban :
Phacomorphic glaucoma
(AAO 2014-2015) BOOK 10 Glaucoma Page 120

9. Mr. A came to clinic present with a pain in the left eye, visible red eye, pain, blurring
migraine, nausea and vomiting since 2 days ago. Patient also complaint blurry vision in
the left eye since 1 years ago, on ophthalmology examination VOD: 6/21 VOS: 1/60
TIOD: 18,5 mmHg TIOS: 59,1 mmHg. Gonioscopy OD cannot be assessed due to
corneal edema. In the left eye appears eyelid spasm, conjunctival hyperemia. COA OS
VH2, lens opaque grd III OS pupil diameter of 7 mm and a negative reflex. What is the
treatment?
A.laser iridotomy OS
B.trabeculectomy OS
C.cataract surgery OS
D.implant OS
E.trabeculectomy + implant OS

Jawaban :
cataract surgery
(AAO 2014-2015) BOOK 10 Glaucoma Page 121
10.Mrs T complaint a pain in the left eye, visible red eye, pain, blurring vision, migraine,
nausea and vomiting since 1 weeks ago after cataract surgery. Opthalmology
examination found visual acuity 1/300 left eye and right eye 6/21. In the left eye appears
eyelid spasm, conjunctival hyperemia, corneal edema, iris bombe and a shallow
peripheral anterior chamber negative reflex. IOP 59,1 mmHg left eye and right eye 15
mmHg. the diagnosis of this condition?
A.Aqueous Misdirection OS
B.choroidal effusion OS
C.suprachoroidal hemorrhage OS
D.pupillary block OS