An update on therapeutic modalities for the prevention of angle closure glaucoma

Behzad Amoozgar, Sasan Moghimi, Ying Han, Shan C. Lin

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Purpose of review Angle closure glaucoma is a prominent burden for the worldwide health system. Because this disorder is commonly asymptomatic, and can lead to irreversible blindness, the proper screening and early management of this disease can be critical. The definitions of angle closure and consequently its treatment guidelines have been dynamically modified and updated in the past decades. Surgical and laser techniques have been adapted to address the different mechanisms involved in the manifestation of the disease and properly prevent its progression in different stages. In this review, we will assess the most recent techniques and their indications in the prevention and management of angle closure disorders. Recent findings Recent trends in surgical and laser procedures in the management of angle closure glaucoma are often geared toward combination strategies, to target different mechanisms. Targeting the lens and the angle structures and adjacent tissues simultaneously may be a promising approach in both the prevention of further angle closure, modulating the pressure, and prevention of cataract progression. Summary Modifying your therapeutic modalities and thresholds for treatment based on updated angle closure disorder definitions and guidelines, as well as innovative screening techniques, may be beneficial to your patients, in regards to both prevention and reduction of disease progression.

Original languageEnglish
Pages (from-to)175-180
Number of pages6
JournalCurrent Opinion in Ophthalmology
Volume28
Issue number2
DOIs
StatePublished - Mar 1 2017

Keywords

  • endoscopic cyclophotocoagulation
  • phacoemulsification
  • plateau iris syndrome
  • primary angle closure glaucoma
  • primary angle closure suspect

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