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ISSN 1561-3070 (Electronic)

2012, Number s1

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Rev Cub Oftal 2012; 25 (s1)

Therapeutic options in the primary angle closure

Fernández AL, Piloto DI, Díaz ÁY, Obret MI, Ferrer GMT, Álvarez CG

Language: Spanish
References: 34
Page:
PDF size: 162.62 Kb.


ABSTRACT

The therapeutic options for the angle closure glaucoma cover medical treatment with ocular hypotensors, laser surgery (iridotomy, gonioplasty) and incisional surgery (trabeculectomy and lens extraction) depending on the clinical form of the presentation. Medical treatment, laser gonioplasty, corneal indentation and immediate anterior chamber paracentesis are good effective options to immediately stabilize intraocular pressure in acute primary angle closure. The definitive treatment is the laser iridotomy that avoids the acute attack, although progression to glaucoma may occur. After the acute attack, the filtering surgery fails to reduce intraocular pressure and is associated with more surgical complications. Phacoemulsification has shown good results by increasing the angle depth, eliminating the papillary block and reducing the intraocular pressure.


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