Management algorithms for primary angle closure disease

Thomas, Ravi and Walland, Mark J. (2013) Management algorithms for primary angle closure disease. Clinical and Experimental Ophthalmology, 41 3: 282-292. doi:10.1111/j.1442-9071.2012.02885.x


Author Thomas, Ravi
Walland, Mark J.
Title Management algorithms for primary angle closure disease
Journal name Clinical and Experimental Ophthalmology   Check publisher's open access policy
ISSN 1442-6404
1442-9071
Publication date 2013-04
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/j.1442-9071.2012.02885.x
Volume 41
Issue 3
Start page 282
End page 292
Total pages 11
Place of publication Richmond, Australia
Publisher Wiley-Blackwell
Collection year 2014
Language eng
Abstract In contrast to primary open angle glaucoma, preventive interventions in primary angle closure disease (PACD) can sometimes be definitive. Data from randomized, controlled trials – and where this is not available – principles grounded in known biology, biological plausibility, logic, preferred practice and personal experience have been synthesized to develop explicit clinical algorithms for management of the spectrum of PACD. The mainstay of first-line intervention is usually a laser iridotomy: a commonly necessary but sometimes insufficient manoeuvre in PACD. The crucial stepwise considerations after iridotomy are: whether the angle is open or closed; whether the IOP can be medically controlled; the extent of PAS, and the presence of visually significant cataract. Indication for subsequent interventions – which may include iridoplasty, cataract surgery, trabeculectomy or phacotrabeulectomy – are herein based on an arbitrary threshold (180 degrees) for angle opening and extent of PAS following initial treatment.
Keyword Cataract surgery
Glaucoma
Iridotomy
Laser surgery
Lens
Trabeculectomy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Medicine Publications
 
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