Acute angle closure and angle closure glaucoma: Phacoemulsification as first-line treatment

Angle closure glaucoma is characterized by an optic neuropathy with a glaucomatous visual field defect with a white painless eye and mimics primary open-angle glaucoma. Acute angle closure attack is more symptomatic, with a red painful eye and elevated intraocular pressure. In both cases, iridocorne...

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Bibliographic Details
Published inJournal francais d'ophtalmologie Vol. 33; no. 4; p. 273
Main Author Lachkar, Y
Format Journal Article
LanguageFrench
Published France 01.04.2010
Subjects
Acute Disease
Cornea - pathology
Glaucoma, Angle-Closure - surgery
Humans
Intraocular Pressure - physiology
Iris - pathology
Lens, Crystalline - pathology
Optic Nerve - pathology
Phacoemulsification - methods
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Summary:Angle closure glaucoma is characterized by an optic neuropathy with a glaucomatous visual field defect with a white painless eye and mimics primary open-angle glaucoma. Acute angle closure attack is more symptomatic, with a red painful eye and elevated intraocular pressure. In both cases, iridocorneal angle closure is due to an increase in the thickness of the natural lens, which with age has a tendency to close a narrow angle. The rational approach to treating these situations is lens extraction. With today's improved lens extraction techniques, this surgical treatment should be proposed more frequently.
ISSN:1773-0597
DOI:10.1016/j.jfo.2010.02.009