An Indian perspective on primary angle closure and glaucoma.
Indian J Ophthalmol
;
2011 Jan; 59 (Suppl1): 76-81
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Prostaglandinas F Sintéticas
/
Procedimentos Cirúrgicos Oftalmológicos
/
Timolol
/
Humanos
/
Esquema de Medicação
/
Glaucoma de Ângulo Fechado
/
Iris
/
Hipertensão Ocular
/
Doença Aguda
/
Doença Crônica
Tipo de estudo:
Estudo de incidência
/
Estudo de prevalência
/
Estudo prognóstico
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Indian J Ophthalmol
Ano de publicação:
2011
Tipo de documento:
Artigo
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