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Acute Angle-Closure Glaucoma

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1. Angle-closure glaucoma

form may develop after acute angle closure where synechial closure of the angle persists. It may also develop over time, as the angle closes from prolonged or repeated contact between the peripheral iris and the trabecular meshwork, which often leads to peripheral anterior synechiae (PAS) and functional damage to the angle. History and exam presence of risk factors halos around lights aching eye or brow pain headache nausea, vomiting reduced visual acuity eye redness elevated intraocular pressure (...) Angle-closure glaucoma Angle-closure glaucoma - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Angle-closure glaucoma Last reviewed: February 2019 Last updated: March 2018 Summary Acute angle-closure glaucoma is an urgent but uncommon, dramatic symptomatic event with blurring of vision, painful red eye, headache, nausea, and vomiting. Diagnosis is made by noting high intra-ocular pressure, corneal oedema, shallow

2018 BMJ Best Practice

2. Optic disc melanocytoma with normal tension glaucoma and angle closure glaucoma: Two case reports. Full Text available with Trip Pro

Optic disc melanocytoma with normal tension glaucoma and angle closure glaucoma: Two case reports. Optic disc melanocytoma is an ophthalmic tumor that arises from melanocytes, and is a variant of the melanocytic nevus. Here we report 2 cases of optic disc melanocytoma in Asian patient: one associated with normal tension glaucoma (NTG), and the other associated with angle closure glaucoma (ACG).Case 1 is a 57-year-old Asian female presented to our department for a general ophthalmic examination (...) examination revealed shallow anterior chamber. Under the impression of intermittent angle closure attack, prophylactic laser peripheral iridotomy were performed. On dilated fundus examination, black pigmented lesion was found at superior sector of optic disc. Further examination revealed bilateral superotemporal, inferotemporal RNFL thinning on OCT, and spatially corresponding visual field defects.Clinical diagnosis of NTG was made for case 1 patient. Although it was a little distant from typical

2020 Medicine

3. Glaucoma (primary angle closure)

-Blanco A, Munoz B, Friedman DS, Foster PJ. The prevalence of primary angle closure glaucoma in European derived populations: a systematic review. Br J Ophthalmol. 2012;96(9):1162-7 Hui X, Michelessi M. Medical interventions for treating primary angle-closure glaucoma. Cochrane Database of Systematic Reviews 2015;12:CD012001 Lachkar Y, Bouassida W. Drug-induced acute angle closure glaucoma Curr Opin Ophthalmol 2007;18:129-33 Napier ML, Azuara-Blanco A. Changing patterns in treatment of angle closure (...) glaucoma. Curr Opin Ophthalmol. 2018;29(2):130-4 Rich R. The pilocarpine paradox. Journal of Glaucoma. 1996;5:225-7 Lay summary Primary Angle Closure Glaucoma (PACG) is rarer in this country than Primary Open Angle Glaucoma, and in its acute form differs in that the drainage route for the fluid inside the eye is closed off, rather than gradually blocked. It affects women more often than men, is commoner in long-sighted people and people of East Asian ancestry, and becomes more likely to occur as people

2018 College of Optometrists

4. Medical Concepts: Acute Angle Closure Glaucoma Full Text available with Trip Pro

, and narrow irido-corneal angles. 6 As people age, their anterior chamber becomes more shallow and the lens thickens and moves anteriorly, 5 which makes this condition rare below the age of forty, with the peak incidence occurring in the sixth and seventh decades of life. 8 Physical Examination Patients with acute angle closure glaucoma present with conjunctival injection and a fixed, mid-dilated pupil measuring 5-6 mm in diameter. 9 Due to the elevated intraocular pressure, the eye may feel hard (...) Medical Concepts: Acute Angle Closure Glaucoma Acute Angle Closure Glaucoma Review - CanadiEM Medical Concepts: Acute Angle Closure Glaucoma In by Stephanie Cargnelli October 11, 2016 A 62 year old woman presents to your Emergency Department with a chief complaint of severe right eye pain. Upon further questioning, she reveals reduced vision in the affected eye and colored halos around lights. She reports a diffuse headache and two episodes of vomiting. A quick physical exam reveals significant

2016 CandiEM

5. Clinical and pathological correlation of cotton wool spots in secondary angle closure glaucoma Full Text available with Trip Pro

with a diagnosis of low grade ciliary body melanoma. This patient experienced eventual mechanical angle closure with a CWS appearing in the posterior pole in the setting of acute elevation of intraocular pressure (IOP). This eye underwent enucleation and pathology evaluation.Fundus photography documented a CWS in the posterior segment during a period of acute elevation in IOP. Subsequently the eye was enucleated due to pain from refractory angle closure glaucoma secondary to low grade iris-ciliary body ring (...) in the setting of acute elevations of IOP and may be associated with loss of nerve fiber layer. This loss of nerve fiber layer can confound the ability to judge glaucoma progression based on nerve fiber layer thickness via optical coherence tomography and changes in disc contours. Patient care may benefit from care provider's awareness of this possible phenomenon in the setting of angle closure.

2018 American journal of ophthalmology case reports

6. Association of Gabapentin or Pregabalin Use and Incidence of Acute Angle-closure Glaucoma. (Abstract)

Association of Gabapentin or Pregabalin Use and Incidence of Acute Angle-closure Glaucoma. Gabapentin and its derivatives have numerous indications and are commonly prescribed medications. In this article, we provide evidence of a link between gabapentinoid use and incidence of acute angle-closure glaucoma.Gabapentinoids, such as gabapentin and pregabalin, are commonly prescribed classes of drugs in North America. We sought to determine the association of gabapentin or pregabalin use (...) and the incidence of acute angle-closure glaucoma.This was a nested case-control study. All adult patients who developed acute angle-closure glaucoma between January 1, 2006 and December 31, 2016, and enrolled in the PharMetrics Plus database were eligible for inclusion. A conditional logistic regression model was constructed to assess the association between gabapentin or pregabalin use and the incidence of acute angle-closure glaucoma.Incidence of acute angle-closure glaucoma was found to be statistically

2019 Journal of Glaucoma

7. Differences between fellow eyes of acute and chronic primary angle closure (glaucoma): An ultrasound biomicroscopy quantitative study. Full Text available with Trip Pro

Differences between fellow eyes of acute and chronic primary angle closure (glaucoma): An ultrasound biomicroscopy quantitative study. To compare various biometric parameters between fellow eyes of acute primary angle closure (glaucoma) [APAC(G)] and fellow eyes of chronic primary angle closure (glaucoma) [CPAC(G)].Ultrasound biomicroscopy examinations were performed on 47 patients with unilateral APAC(G) and 41 patients with asymmetric CPAC(G) before laser peripheral iridotomy and pilocarpine (...) ), as well as larger LV (P = 0.002), IC (P = 0.012), and IRD (P = 0.003). On multivariate logistic regression analyses, a 0.1 mm decrease in ACD (odds ratio [OR]: 0.705, 95%CI: 0.564-0.880, P = 0.002), ICPD (OR: 0.557, 95%CI: 0.335-0.925, P = 0.024), and a 0.1 mm increase in IRD (OR: 2.707, 95%CI: 1.025-7.149, P = 0.045), was significantly associated with occurrence of acute angle closures.Fellow eyes of APAC(G) had smaller anterior segment dimensions, higher LV, more posterior iris insertion, greater IC

2018 PLoS ONE

8. A Convergence of Ophthalmic and Life-threatening Emergencies: Acute Angle Closure Glaucoma and Subarachnoid Hemorrhage. (Abstract)

A Convergence of Ophthalmic and Life-threatening Emergencies: Acute Angle Closure Glaucoma and Subarachnoid Hemorrhage. To report a unique case of acute angle closure glaucoma in the setting of a subarachnoid hemorrhage due to a ruptured cerebral aneurysm.Observational case report and review of the literature.A 75-year-old woman presented with blurry vision, nausea, vomiting, and left eye pain. She was found to have a complete third nerve palsy, with ptosis, exotropia, hypotropia, and a fixed (...) mydriasis with resultant acute angle closure glaucoma. Pilocarpine was initiated, and neuroimaging revealed a subarachnoid hemorrhage from a ruptured posterior communicating artery aneurysm. The aneurysm was successfully coiled, and outpatient laser iridotomies were subsequently performed. Only 4 prior cases of acute angle closure glaucoma in the setting of a third nerve palsy have been reported in the literature. To our knowledge, this case is the first report of angle closure glaucoma in the setting

2019 Journal of Glaucoma

9. The Chinese Glaucoma Study Consortium for Patients with Glaucoma: Design, Rationale and Baseline Patient Characteristics. Full Text available with Trip Pro

-closure glaucoma (PACG), acute primary angle closure (APAC), primary open-angle glaucoma (POAG), pigmentary glaucoma (PG) and pseudoexfoliative glaucoma (PXG) from 111 hospitals covering 67 cities from 22 provinces, 4 municipalities, and 5 autonomous regions in mainland China. Clinical data were collected using an Electronic Data Capture System designed by Tongren hospital and Gauss informed Ltd. Blood samples were collected from every patient for further genetic analysis.Medical records of 10892 (...) . At the national level, there are few reports on the current medical practice for glaucoma patients. Chinese Glaucoma Study Consortium (CGSC) will be considered as the first nation-wide glaucoma registry in China. Here we describe its design, rationale, the geographic distribution of the hospitals, and baseline patient characteristics.From December 21st 2015 to September 9th 2018, CGSC recruited patients with the diagnoses of primary angle-closure suspect (PACS), primary angle-closure (PAC), primary angle

2019 Journal of Glaucoma

10. An unusual case of acute angle-closure glaucoma following deep anterior lamellar keratoplasty using the “big bubble” technique Full Text available with Trip Pro

An unusual case of acute angle-closure glaucoma following deep anterior lamellar keratoplasty using the “big bubble” technique To report the first case of acute angle closure due to a high-pressure Descemet membrane detachment following deep anterior lamellar keratoplasty (DALK) using the "big bubble" technique.A 25-year-old man underwent DALK surgery for keratoconus using the "big bubble" technique in which an air bubble is injected in deep stroma to promote dissection of underlying (...) Descemet membrane from stroma. Surgery was uneventful and the patient was discharged home in good conditions. On post-operative day 1, the patient came back with severe periocular pain. Intra-ocular pressure was found to be 38 mmHg. Anterior-segment OCT revealed a "double anterior chamber" created by a high-pressure Descemet detachment that was occluding the pupil and causing secondary acute angle closure glaucoma. The patient was brought back promptly to the operating room where the high-pressure

2017 American journal of ophthalmology case reports

11. The Seasonality of Acute Attack of Primary Angle-Closure Glaucoma in Beijing, China Full Text available with Trip Pro

The Seasonality of Acute Attack of Primary Angle-Closure Glaucoma in Beijing, China In this study, the seasonality of acute attack of primary angle-closure glaucoma (PACG) was analysed. This retrospective case series included 283 patients (200 women, 83 men; mean age, 68.2 ± 10.3 years; range, 37-96 years) with acute attack of PACG from a university-based clinic over 4 years. Patients' age and sex, and the date and season of onset of PACG attack, were analysed. Descriptive analysis and von (...) Mises distribution were used for statistical analysis. The highest incidence of acute attack of PACG was observed in those aged 60-69 years (34.6%). Descriptive analysis showed that the incidence was greater in June and July for men, November for women, and November for the entire sample. An angular plot (using von Mises distribution) of the individual dates of onset revealed the estimated peak onset on September 11, November 8, and October 28 for men, women, and both, respectively. Integration

2018 Scientific reports

12. A Novel Association between Oxybutynin Use and Bilateral Acute Angle Closure Glaucoma: A Case Report and Literature Review Full Text available with Trip Pro

A Novel Association between Oxybutynin Use and Bilateral Acute Angle Closure Glaucoma: A Case Report and Literature Review We are reporting a case of a 62-year-old male presenting with headache and blurry vision. His condition resolved with cessation of the presumed offending medication and urgent bilateral laser peripheral iridotomies since he failed medical therapy. This case presents a novel association between oxybutynin and bilateral acute angle-closure glaucoma (AACG).

2018 Cureus

13. Acute angle closure glaucoma – A potential blind spot in critical care Full Text available with Trip Pro

Acute angle closure glaucoma – A potential blind spot in critical care We report a case of a 69-year-old gentleman who developed an acutely painful eye with loss of visual acuity whilst on the critical care unit. He was admitted three days previously with an infective exacerbation of chronic obstructive pulmonary disease requiring invasive mechanical ventilation. In addition, he received intravenous antibiotics, steroids, nebulised bronchodilators and intravenous aminophylline, together (...) with noradrenaline for blood pressure support. On development of visual symptoms, an emergency ophthalmology review diagnosed acute angle closure glaucoma. Treatment with pilocarpine eye drops, intravenous acetazolamide and bilateral YAG laser iridotomies provided immediate symptom relief and he went on to make an excellent recovery. Acute angle closure glaucoma is a potentially devastating ophthalmic emergency. Critical care patients are at particular risk for the development of this condition due to the use

2017 Journal of the Intensive Care Society

14. Endoscopic Goniosynechialysis for Acute Angle Closure Glaucoma Following Descemet’s Stripping Automated Endothelial Keratoplasty Full Text available with Trip Pro

Endoscopic Goniosynechialysis for Acute Angle Closure Glaucoma Following Descemet’s Stripping Automated Endothelial Keratoplasty We describe a new modified technique to release the peripheral iridocorneal adhesions that formed after Descemet stripping automated endothelial keratoplasty. The usual technique of goniosynechialysis was modified and performed using endoscopic fiber-optic light and camera probe to aid visualization of the adherent iris tissue and carry out uneventful 270 degrees (...) and improved quality of life. How to cite this article: Rana M, Shah S, Pandey P, Masood I. Endoscopic Goniosynechialysis for Acute Angle Closure Glaucoma Following Descemet's Stripping Automated Endothelial Keratoplasty. J Curr Glaucoma Pract 2018;12(2):90-93.

2018 Journal of Current Glaucoma Practice

15. Acute Angle-Closure Glaucoma Caused by Venlafaxine Full Text available with Trip Pro

Acute Angle-Closure Glaucoma Caused by Venlafaxine 29893371 2018 12 11 2018 12 11 2542-5641 131 12 2018 Jun 20 Chinese medical journal Chin. Med. J. Acute Angle-Closure Glaucoma Caused by Venlafaxine. 1502-1503 10.4103/0366-6999.233952 Zhou Nan N Department of Pharmacy, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi 710068, China. Zhao Jia-Xin JX Department of Neurology, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi 710068, China. Zhu Ya-Ning YN Department of Pharmacy, Shaanxi (...) Provincial People's Hospital, Xi'an, Shaanxi 710068, China. Zhang Peng P Department of Pharmacy, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi 710068, China. Zuo Yan Y Department of Pharmacy, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi 710068, China. eng Letter China Chin Med J (Engl) 7513795 0366-6999 0 Antidepressive Agents, Second-Generation 7D7RX5A8MO Venlafaxine Hydrochloride IM Acute Disease Antidepressive Agents, Second-Generation adverse effects Glaucoma, Angle-Closure chemically

2018 Chinese medical journal

16. Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration. Full Text available with Trip Pro

Bilateral acute angle-closure glaucoma following tramadol subcutaneous administration. To report a case of bilateral acute angle closure-glaucoma following the use of subcutaneous Tramadol.A 42-year-old healthy man with unremarkable past medical and ocular history, was admitted to the Orthopedic Department for surgical treatment of a bilateral open fracture of the femur following a road accident. Three hoursafterTramadolsubcutaneous injection, the patient complained of a bilateral acute painful (...) visual loss with persistent vomiting. An ocular examination showed bilateral acute angle-closure-glaucoma. The patient was treated with topical anti-glaucoma therapy and intravenous Mannitol 20%.After resolution of ocular hypertension attack, NdYag laser peripheral iridotomy was performed on both eyes. After a follow-up period of 7 days visual acuity improved to 20/20 in both eyes and intraocular pressure returned to normal levels.This case highlights the risk of developing bilateral acute angle

2018 BMC Ophthalmology

17. Acute Angle-closure Glaucoma Associated With Aripiprazole in the Setting of Plateau Iris Configuration. (Abstract)

Acute Angle-closure Glaucoma Associated With Aripiprazole in the Setting of Plateau Iris Configuration. The purpose of this study was to report a novel case of drug-induced angle-closure from aripiprazole (Abilify), an atypical antipsychotic, and propose a mechanism for this association.We report a case of a 45-year-old white woman who presented in subacute angle closure 2 months after initiating aripiprazole 5 mg daily for depression. This patient reported no prior ocular history and had been (...) of the angles in both eyes 1 week after cessation.This is the first report to describe drug-induced angle-closure glaucoma associated with aripiprazole use. The mechanism of angle closure, we hypothesize, is from mydriasis and/or supraciliary effusion mediated by the serotoninergic effect on the iris and ciliary body complex. Treatment is preferably cessation of the medication. However, in cases where the medication is necessary for management of major depression, iridoplasty should be performed to reduce

2018 Journal of Glaucoma

18. Performance and Safety of the ARGOS-SC01 Suprachoroidal Pressure Sensor in Patients With Glaucoma Undergoing Non-penetrating Glaucoma Surgery

glaucoma, primary and secondary angle closure glaucoma Condition after previous glaucoma incisional surgery IOP > 40 mmHg Myopia (> -6 dpt) or hypermetropia (> +4 dpt) Axis length < 22 mm or > 26 mm Exudative age-related macular degeneration, instable macular degeneration 30 days prior to inclusion, or macular edema Acute retinal detachment Uncontrolled Diabetes Mellitus (DM) with manifestation of moderate to severe non-proliferative diabetic Retinopathy (DR) or proliferative DR. History or evidence (...) Performance and Safety of the ARGOS-SC01 Suprachoroidal Pressure Sensor in Patients With Glaucoma Undergoing Non-penetrating Glaucoma Surgery Performance and Safety of the ARGOS-SC01 Suprachoroidal Pressure Sensor in Patients With Glaucoma Undergoing Non-penetrating Glaucoma Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save

2018 Clinical Trials

19. The SENSIMED Triggerfish contact lens sensor for continuous 24-hour recording of ocular dimensional changes in people with or at risk of developing glaucoma

reduce the risk of vision loss and therefore improve quality of life. Vision loss may be classified as a disability which is a protected characteristic defined in the Equality Act (2010). Improved management of IOP may reduce the risk of vision loss and therefore improve quality of life. People of African-Caribbean family origin are at increased risk of COAG. People of Asian family origin are at increased risk of acute angle-closure glaucoma. Evidence re Evidence review view Clinical and technical (...) The SENSIMED Triggerfish contact lens sensor for continuous 24-hour recording of ocular dimensional changes in people with or at risk of developing glaucoma The SENSIMED T The SENSIMED T riggerfish contact lens sensor riggerfish contact lens sensor for continuous 24-hour recording of ocular for continuous 24-hour recording of ocular dimensional changes in people with or at risk of dimensional changes in people with or at risk of de dev veloping glaucoma eloping glaucoma Medtech innovation

2014 National Institute for Health and Clinical Excellence - Advice

20. Re: Narayanaswamy et al.: Argon laser peripheral iridoplasty for primary angle-closure glaucoma: a randomized controlled trial (Ophthalmology 2016;123:514-21). Full Text available with Trip Pro

Center, State Key Laboratory of Ophthalmology, Sun Yat-Sen University, Guangzhou, China. Zhang Xiulan X Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-Sen University, Guangzhou, China. Electronic address: zhangxl2@mail.sysu.edu.cn. eng Letter Comment United States Ophthalmology 7802443 0161-6420 67XQY1V3KH Argon IM Ophthalmology. 2016 Mar;123(3):514-21 26707418 Ophthalmology. 2016 Aug;123(8):e50-e51 27450828 Acute Disease Argon Glaucoma, Angle-Closure surgery Humans (...) Re: Narayanaswamy et al.: Argon laser peripheral iridoplasty for primary angle-closure glaucoma: a randomized controlled trial (Ophthalmology 2016;123:514-21). 27450829 2018 01 12 2018 12 02 1549-4713 123 8 2016 08 Ophthalmology Ophthalmology Re: Narayanaswamy et al.: Argon laser peripheral iridoplasty for primary angle-closure glaucoma: a randomized controlled trial (Ophthalmology 2016;123:514-21). e50 S0161-6420(16)00156-1 10.1016/j.ophtha.2016.01.050 Huang Wenbin W Zhongshan Ophthalmic

2018 Ophthalmology Controlled trial quality: predicted high

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