An Indian perspective on primary angle closure and glaucoma.
Indian J Ophthalmol
;
2011 Jan; 59 (Suppl1): 76-81
Article
Dans Anglais
| IMSEAR
| ID: sea-136255
ABSTRACT
Aim:
To provide a synopsis of primary angle closure disease in India, and Indian studies on the same.Results:
Primary angle closure glaucoma forms almost half of all adult primary glaucomas seen in a hospital setting in India. Anatomically, corneal diameters and anterior chamber depths were least in acute and chronic PACG eyes as compared to subacute eyes and controls. Besides relative pupillary block, a Valsalva maneuver during activities of daily living may be responsible for intermittent angle closure and raised IOP in predisposed eyes. Iridotomy alone, controlled the intraocular pressure in 66.7% of subacute eyes and 12.9% of the acute. Medical therapy was additionally required for 35.5% of the acute eyes, 12.1% of the subacute and 30.0% of the chronic cases. There was a greater mean and peak IOP reduction, achieved with 0.005% latanoprost once daily, 8.2 ± 2.0 mm Hg, compared with 0.5% timolol twice daily, 6.1 ± 1.7 mm Hg2. A progression of PACS to PAC was seen in 22%, PAC to PAC OHT in 38.7% and PAC OHT to PACG in 30.7% over 5 years.Conclusions:
Primary angle closure disease is common in India, and can be managed well with iridotomy, followed by an appropriate control of IOP.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Prostaglandines F synthétiques
/
Procédures de chirurgie ophtalmologique
/
Timolol
/
Humains
/
Calendrier d'administration des médicaments
/
Glaucome à angle fermé
/
Iris
/
Hypertension oculaire
/
Maladie aigüe
/
Maladie chronique
Type d'étude:
Etude d'incidence
/
Étude de prévalence
/
Étude pronostique
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Indian J Ophthalmol
Année:
2011
Type:
Article
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