Abstract
To investigate long-term clinical outcomes after acute angle closure in the Chinese population. A 10-year retrospective review of primary acute angle closure in Hong Kong Chinese to document patient demographics, treatment, and pre- and post-acute angle closure intraocular pressure (IOP) and visual acuity (VA). The year of attack was correlated with the timing of laser, last VA and IOP, and the number of anti-glaucoma eye drops. In 210 eyes (200 patients), 10 % had a simultaneous bilateral acute angle closure. VA improvement was noted in 68.6 % of eyes whilst 11.4 % were blinded. At 3.7 ± 2.4 years of follow-up, 49.5 % had IOP <21 mmHg with medication or surgery, 41.9 % needed anti-glaucoma eye drops, and 13.8 % had undergone trabeculectomy. The older the year of attack, the poorer the VA (r = 0.2, p = 0.03) and the longer the laser wait time (r = 0.3, p < 0.0001). VA outcome and laser promptness in acute angle closure has improved over the years. At 4 years after the attack, 50 % had normal IOP, 69 % had improved VA but 11 % were blinded.
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References
Congdon NG, Friedman DS (2003) Angle-closure glaucoma: impact, etiology, diagnosis, and treatment. Curr Opin Ophthalmol 14(2):70–73
Lai JS et al (2001) Epidemiology of acute primary angle-closure glaucoma in the Hong Kong Chinese population: prospective study. Hong Kong Med J 7(2):118–123
Hong Kong Monthly Digest of Statistics. June 2009 p. FC4
Seah Steve KL et al (1977) Incidence of acute primary angle-closure glaucoma in Singapore: an island wide survey. Arch Ophthalmol 115:1436–1440
Lai JS et al (2002) Laser peripheral iridoplasty as initial treatment of acute attack of primary angle-closure: a long-term follow-up study. J Glaucoma 11(6):484–487
Lai JS et al (2006) To compare argon laser peripheral iridoplasty (ALPI) against systemic medications in treatment of acute primary angle-closure: mid-term results. Eye (Lond) 20(3):309–314
Lai JS, Tham CC, Lam DS (1999) Limited argon laser peripheral iridoplasty as immediate treatment for an acute attack of primary angle closure glaucoma: a preliminary study. Eye (Lond) 13(Pt 1):26–30
Lai JS et al (2001) Immediate diode laser peripheral iridoplasty as treatment of acute attack of primary angle closure glaucoma: a preliminary study. J Glaucoma 10(2):89–94
Lam DS, Lai JS, Tham CC (1998) Immediate argon laser peripheral iridoplasty as treatment for acute attack of primary angle-closure glaucoma: a preliminary study. Ophthalmology 105(12):2231–2236
Jacobi PC et al (2002) Primary phacoemulsification and intraocular lens implantation for acute angle-closure glaucoma. Ophthalmology 109(9):1597–1603
Aung T et al (2000) Trabeculectomy for acute primary angle closure. Ophthalmology 107(7):1298–1302
Chen YH et al (2009) Trabeculectomy in patients with primary angle-closure glaucoma. J Glaucoma 18(9):679–683
Aung T et al (2004) Long-term outcomes in asians after acute primary angle closure. Ophthalmology 111(8):1464–1469
Aung T et al (2001) Acute primary angle-closure: long-term intraocular pressure outcome in Asian eyes. Am J Ophthalmol 131(1):7–12
Lai JSM, Gangawani R (2012) Medication-induced acute angle closure attack. Hong Kong Med J 18:139–145
Chan TY (1995) Anticholinergic poisoning due to Chinese herbal medicines. Vet Hum Toxicol 37(2):156–157
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The authors declare no funding support or financial disclosures. The study obtained the approval of the ethics committee of the Hospital Authority of Hong Kong and complied with the Declaration of Helsinki.
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Lee, J.W.Y., Wong, B.K.T., Yick, D.W.F. et al. Primary acute angle closure: long-term clinical outcomes over a 10-year period in the Chinese population. Int Ophthalmol 34, 165–169 (2014). https://doi.org/10.1007/s10792-013-9806-7
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DOI: https://doi.org/10.1007/s10792-013-9806-7