Primary acute angle closure: long-term clinical outcomes over a 10-year period in the Chinese population

To investigate long-term clinical outcomes after acute angle closure in the Chinese population. A 10-year retrospective review of primary acute angle closure in Hong Kong Chinese to document patient demographics, treatment, and pre- and post-acute angle closure intraocular pressure (IOP) and visual...

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Published inInternational ophthalmology Vol. 34; no. 2; pp. 165 - 169
Main Authors Lee, Jacky W. Y., Wong, Billy K. T., Yick, Doris W. F., Wong, Ian Y. H., Yuen, Can Y. F., Lai, Jimmy S. M.
Format Journal Article
LanguageEnglish
Published Dordrecht Springer Netherlands 01.04.2014
Springer Nature B.V
Subjects
Aged
Antihypertensive Agents - therapeutic use
Asian Continental Ancestry Group
Clinical outcomes
Female
Glaucoma, Angle-Closure - physiopathology
Glaucoma, Angle-Closure - therapy
Hong Kong
Humans
Intraocular Pressure - physiology
Laser Therapy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Ophthalmology
Original Paper
Retrospective Studies
Visual Acuity - physiology
Hong Kong
Visual acuity
Treatment
Primary acute angle closure
Outcome
Laser
Intraocular pressure
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Summary:To investigate long-term clinical outcomes after acute angle closure in the Chinese population. A 10-year retrospective review of primary acute angle closure in Hong Kong Chinese to document patient demographics, treatment, and pre- and post-acute angle closure intraocular pressure (IOP) and visual acuity (VA). The year of attack was correlated with the timing of laser, last VA and IOP, and the number of anti-glaucoma eye drops. In 210 eyes (200 patients), 10 % had a simultaneous bilateral acute angle closure. VA improvement was noted in 68.6 % of eyes whilst 11.4 % were blinded. At 3.7 ± 2.4 years of follow-up, 49.5 % had IOP <21 mmHg with medication or surgery, 41.9 % needed anti-glaucoma eye drops, and 13.8 % had undergone trabeculectomy. The older the year of attack, the poorer the VA ( r  = 0.2, p  = 0.03) and the longer the laser wait time ( r  = 0.3, p  < 0.0001). VA outcome and laser promptness in acute angle closure has improved over the years. At 4 years after the attack, 50 % had normal IOP, 69 % had improved VA but 11 % were blinded.
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ISSN:0165-5701
1573-2630
DOI:10.1007/s10792-013-9806-7