Secondary Angle-Closure Glaucoma Due to Posterior Synechiae of Iris Following Combined Phacoemulsification and 23-Gauge Transconjunctival Vitrectomy

2016 ◽  
Vol 32 (5) ◽  
pp. 537-542 ◽  
Author(s):  
Pallavi Raj ◽  
Kshitiz Kumar ◽  
Nisha Chandnani ◽  
Amar Agarwal ◽  
Athiya Agarwal
Keyword(s):  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
23 Gauge ◽  
Posterior Synechiae ◽  
Transconjunctival Vitrectomy

Method of phacoemulsification of cataract in patients with angle-closure glaucoma

2021 ◽  
pp. 116-120
Author(s):  
О.V. Khaliavinskaya ◽  
◽  
V.L. Krasilnikava ◽  
Keyword(s):  
Key Words ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Control Group ◽  
Clinical Group ◽  
Classical Technique ◽  
Posterior Synechiae ◽  
Observation Period

Purpose. To study of effectivity and safety the proposed method phacoemulsification cataract of patients with close-angle glaucoma. Methods. Under control was 76 patients (76 eyes) with different degree of tubidity of lens and close-angle glaucoma. Was allocated 3 clinical's groops: I patients with cataract and who was operated close-angle glaucoma, II patients with with cataract and not operated glaucoma, III control group. Results. Patients of I and II clinical group phacoemulsification cataract was carried out by the proposed method. In control group phacoemulsification was carried out by the classical technique. Ophtalmological examination was performed before surgery, on the first day after surgery and by the all period of staying in the hospital. Observation period – 6 months. Conclusion. Тhe proposed method allows to perform the phacoemulsification cataract of patients with close-angle glaucoma with shallow anterior camera and posterior synechiae. Authentically can say, that level of intoocular pressure in 1 and 2 groups dropped on 38% and 37%, in control group this index compose 23%. When performing an operation by the proposed method managed to reduce the proportion of inraoperative complications on 34%. The proposed method easy to performed and safe. Key words: close-angle glaucoma, cataract, phacoemulsification cataract, angle anterior camera, posterior synechiae, anterior camera.

Essential iris atrophy with secondary angle closure glaucoma: A rare spectrum of Irido-corneal endothelial syndrome

2019 ◽  
Vol 1 (2) ◽  
pp. 25-28
Author(s):  
Vallinayagam Muthukrishnan ◽  
Stephanie Sebastian ◽  
Sajeeth Kurinjhi ◽  
Senthil Prasad
Keyword(s):  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Iris Atrophy

Effect of postural changes on intraocular pressure in patients with acute angle-closure glaucoma in Indian population

2020 ◽  
Vol 3 ◽  
pp. 2
Author(s):  
Sanjay Mishra ◽  
Ashok Kumar
Keyword(s):  
Intraocular Pressure ◽  
Acute Angle ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Sitting Position ◽  
Rebound Tonometer ◽  
Antiglaucoma Medication ◽  
Primary Angle Closure Glaucoma ◽  
Postural Changes ◽  
Healthy Control

Objective: The objective of the study was to compare the posture-induced intraocular pressure (IOP) changes in primary angle-closure glaucoma (PACG) with or without glaucoma medications, and healthy control eyes with normal IOPs in Indian subjects. Materials and Methods: The IOP was measured in the sitting position and the supine position after 10, 20, and 30 min with a rebound tonometer. Results: Twenty-five patients with PACG and 30 controls with normal IOPs were studied. The IOP in the sitting position measured with the rebound tonometer was 13.8 + 3.2 mm Hg in eyes with PAC, and 12.9 + 2.9 mm Hg in eyes with normal IOPs. The IOP increased to 14.4 mm Hg, 16.8 mm Hg, and 18.9 mm Hg at 10 min, 20 min, and 30 min in PACG subjects. In normal age-matched controls, the IOP increased to 13.4 mm Hg, 14.9 mm Hg, and 17.8 mm Hg at 10 min, 20 min, and 30 min, respectively, but none of these differences were significant (P = 0.09; P = 0.08, P = 0.08). The mean postural IOP change from baseline was also not significant between the two groups. Only three patients were on single antiglaucoma medication with well-controlled IOP in the PACG group. Conclusions: Postural IOP changes are comparable among eyes with PACG with and without glaucoma medications, and control eyes.

Glaucoma at a tertiary referral eye hospital in Nepal

1970 ◽  
Vol 3 (2) ◽  
pp. 123-127
Author(s):  
I Paudyal ◽  
SS Thapa ◽  
G Paudyal ◽  
R Gurung ◽  
S Ruit
Keyword(s):  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Applanation Tonometry ◽  
Acute Angle ◽  
Secondary Glaucoma ◽  
Angle Closure Glaucoma ◽  
Field Analysis ◽  
Angle Closure ◽  
Open Angle ◽  
Tertiary Referral

Background: Glaucoma is an important cause of blindness. Objective: To report the distribution of various types of glaucoma among patients presenting to a tertiary eye hospital in Nepal. Materials and methods: All new patients visiting the hospital between March 2007 and February 2008 underwent a comprehensive eye examination. Whenever glaucoma was suspected, patients were referred to fellowship-trained glaucoma specialists. Patients received a comprehensive glaucoma workup including applanation tonometry, stereoscopic examination of the optic nerve head performed by the glaucoma specialists, and a Humphrey visual field analysis (SITA 24 - 2). Results: 447 patients were newly diagnosed with glaucoma. 171 (38.2 %) patients had primary open-angle glaucoma (POAG), while 143 (32 %) had primary angle-closure glaucoma (PACG). The average age of presentation of patients with POAG was 65.78 ± 9.1 years, while the average age for PACG patients was 54.6 ±12.8 years. 30 (21 %) patients with PACG had acute angle-closure on presentation, while 113 (79 %) had chronic angle closure glaucoma. 107 (75 %) of these patients with PACG had visual acuity of less than 3/60 (20/ 400) in the worse eye at presentation. The most common form of secondary glaucoma was lens-induced (5.3 %), followed by neovascular (3.2 %) and uveitic glaucoma (3.2 %). Conclusion: The most common glaucoma seen in a tertiary referral eye hospital of Nepal is primary open-angle glaucoma. Among the angle-closure glaucoma, chronic angle-closure is the most common. Lens-induced glaucoma is still the commonest cause of secondary glaucoma. Keywords: glaucoma, open-angle, angle-closure, lens-induced DOI: http://dx.doi.org/10.3126/nepjoph.v3i2.5263 Nepal J Ophthalmol 2011; 3(2): 123-127

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