Skip Navigation LinksHome > March 2014 - Volume 25 - Issue 2 > Evidence-based management of primary angle closure glaucoma
Current Opinion in Ophthalmology:
doi: 10.1097/ICU.0000000000000028
GLAUCOMA: Edited by Donald L. Budenz

Evidence-based management of primary angle closure glaucoma

Emanuel, Matthew E.; Parrish, Richard K.; Gedde, Steven J.

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Abstract

Purpose of review

To review the classification of primary angle closure (PAC) and discuss the evidence-based management of each type.

Recent findings

There is limited evidence to support the prophylactic treatment of primary angle closure suspects. Cataract and clear lens extraction may be more effective than traditional therapy in controlling intraocular pressure (IOP) in patients with PAC, primary angle closure glaucoma, and acute angle closure crisis.

Summary

Treatment of angle closure depends on the signs of chronic angle damage and glaucomatous optic neuropathy. In the absence of such evidence, serial gonioscopy may be the preferred therapy. If signs or symptoms are present, medical therapy and laser peripheral iridotomy are beneficial. However, recent data suggest that cataract extraction may be more effective at controlling the IOP than laser or incisional glaucoma procedures.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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