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Acute angle closure glaucoma, a medical emergency due to the risk of impending permanent vision loss, is characterized by sudden ocular pain, seeing halos around lights, red eye, very high intraocular pressure, nausea and vomiting, and suddenly decreased vision. [21]
Anterior chamber paracentesis is used in the management of acute angle closure glaucoma, and uveitis. [1] [2] It can also prevent a raise in IOP after intravitreal injections. [3] Aqueous humor collected using anterior chamber paracentesis may be used for clinical diagnosis of infectious uveitis. [4]
In acute angle-closure glaucoma cases, surgical iridectomy has been superseded by Nd:YAG laser iridotomy, because the laser procedure is much safer. Opening the globe for a surgical iridectomy in a patient with high intraocular pressure greatly increases the risk of suprachoroidal hemorrhage , with potential for associated expulsive hemorrhage .
Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). There are many glaucoma surgeries, and variations or combinations of those surgeries, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower IOP by decreasing the production of ...
A study also found that CLE is even more effective than laser peripheral iridotomy in patients with angle closure glaucoma. [ 5 ] [ 6 ] A systematic review comparing lens extraction and laser peripheral iridotomy for treating acute primary angle closure found that lens extraction potentially provides better intraocular pressure control and ...
Historically, angle-based glaucoma surgery in patients with narrow angles was thought more likely to result in synechiae and fibrosis. This was considered a contraindication to trabectome surgery. However, studies of trabectome and phaco-trabectome patients have proven that trabectome surgery can be successful even in these cases.
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