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In primary angle-closure glaucoma, the iridocorneal angle is narrowed or completely closed, obstructing the flow of aqueous humor to the trabecular meshwork for drainage. This is usually due to the forward displacement of the iris against the cornea, resulting in angle closure.
It can be broadly divided into two subtypes: secondary open-angle glaucoma and secondary angle-closure glaucoma, depending on the closure of the angle between the cornea and the iris. Principal causes of secondary glaucoma include optic nerve trauma or damage, [ 2 ] eye disease , surgery , neovascularization , [ 3 ] tumours [ 4 ] and use of ...
Phacomorphic glaucoma is an eye disease that can occur due to a neglected advanced cataract.In this, the mature cataractous lens cause secondary angle closure glaucoma.The presence of an asymmetric mature cataractous lens, shallow or closed anterior chamber angle, raised intraocular pressure (IOP) and other typical signs and symptoms of angle-closure glaucoma in the eye may lead to a diagnosis ...
Lens induced glaucomas or Lens related glaucomas are either open-angle or closed-angle glaucomas that can occur due to a neglected advanced cataract (cloudiness of the lens) or a dislocated lens. It is a type of secondary glaucoma. The angle-closure glaucoma can be caused by a swollen or dislocated lens.
Anterior synechia causes closed angle glaucoma, which means that the iris closes the drainage way of aqueous humour which in turn raises the intraocular pressure. Posterior synechia can be observed in cases of anterior uveitis secondary to severe to moderate bacterial keratitis. [2]
Plateau iris is a medical condition of the eye resulting from anterior displacement of the peripheral iris by the ciliary body, causing angle closure glaucoma. First line treatment for all causes of narrow angle glaucoma is laser iridotomy.
Angle-closure glaucoma should be considered if there is painful loss of vision with a red eye, nausea or vomiting. [4] The eye pressure will be very high typically greater than 40 mmHg. [ 5 ] Emergent laser treatment to the iris may prevent blindness.
Iridocorneal endothelial (ICE) syndromes are a spectrum of diseases characterized by slowly progressive abnormalities of the corneal endothelium and features including corneal edema, iris distortion, and secondary angle-closure glaucoma. [1] [2] [3] ICE syndromes are predominantly unilateral and nonhereditary.
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