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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.
Sujets)

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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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