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Angle-Closure Glaucoma: Surgical Management of Acute Angle-Closure Glaucoma

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Abstract

The initial treatment for acute primary angle-closure aims to reduce the intraocular pressure (IOP) as rapidly as possible to relieve symptoms and prevent further ocular tissue damage. Traditionally, IOP is lowered by topical or systemic hypotensive medications, which often will break the acute attack, and then the pupillary block is relieved by laser peripheral iridotomy (LPI). A number of groups across the world have described other procedures to break an attack of acute angle-closure, including argon laser peripheral iridoplasty, immediate anterior chamber paracentesis, and early cataract or lens extraction by phacoemulsification [1–12]. While these procedures can work to break an attack, they have not been widely adopted due to potential complications and the fact that they may not resolve the problem of pupillary block (except in the case of cataract extraction).

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Authors and Affiliations

  1. Zhongshan Ophthalmic Center, Sun Yat-Sen University, 54S. Xianlie Road, Guangzhou, 510060, P. R. China

    Jian Ge

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  1. Jian Ge
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  2. Xiulan Zhang
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Correspondence to Jian Ge .

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Editors and Affiliations

  1. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    JoAnn A. Giaconi

  2. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    Simon K. Law

  3. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    Anne L. Coleman

  4. Jules Stein Eye Institute, Stein Plaza 100, Los Angeles, 90095, U.S.A.

    Joseph Caprioli

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Ge, J., Zhang, X. (2010). Angle-Closure Glaucoma: Surgical Management of Acute Angle-Closure Glaucoma. In: Giaconi, J., Law, S., Coleman, A., Caprioli, J. (eds) Pearls of Glaucoma Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68240-0_58

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  • DOI: https://doi.org/10.1007/978-3-540-68240-0_58

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  • Online ISBN: 978-3-540-68240-0

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