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Angle closure glaucoma

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https://www.readbyqxmd.com/read/28413868/goniosynechialysis-and-repositioning-of-intraocular-lens-in-a-case-of-secondary-angle-closure-glaucoma
#1
Masaru Fujita, Masafumi Ogata, Yasuyuki Suzuki, Tsunetomo Ichihashi, Miyuki Nagahara, Kenji Kawai
PURPOSE: Implanting intraocular lens (IOL) in proper direction is important in cataract surgery to reduce the possibility of undesirable complications. We experienced a case who underwent vitrectomy combined with cataract surgery and developed secondary angle closure glaucoma caused by IOL misdirection. Goniosynechialysis (GSL) and repositioning of IOL successfully ameliorated the high intraocular pressure (IOP). CASE REPORT: A 64-year-old male with massive vitreous hemorrhage underwent vitrectomy combined with cataract surgery...
April 20, 2017: Tokai Journal of Experimental and Clinical Medicine
https://www.readbyqxmd.com/read/28412683/safety-in-treating-primary-acute-angle-closure-glaucoma-under-high-intraocular-pressure-by-compound-trabeculectomy
#2
Jianshu Yuan, Yuwen Wang, Pengyun Wang, Rong Ma
In clinical practice, Primary Acute Angle-closure Glaucoma (APACG) is a common disease with an increasing incidence rate and blind rate, and has attracted attention of medical researchers. When a patient suffers both primary acute glaucoma and high tension glaucoma, drug therapy can achieve limited efficacy, and operative treatment is necessary on this occasion. This research mainly explored the safety in treating high tension APACG by compound trabeculectomy, and observed the clinical treatment effect and incident rate of postoperative complications after compound trabeculectomy...
November 2016: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28404532/cost-effectiveness-and-cost-utility-of-community-screening-for-glaucoma-in-urban-india
#3
Denny John, Rajul Parikh
OBJECTIVES: Population-based screening for glaucoma has been demonstrated to be cost-effective if targeted at high-risk groups such as older adults and those with a family history of glaucoma, and through use of a technician for conducting initial assessment rather than a medical specialist. This study attempts to investigate the cost-effectiveness of a hypothetical community screening and subsequent treatment programme for glaucoma in comparison with current practice (i.e. with no screening programme but with some opportunistic case finding) in the urban areas of India...
April 6, 2017: Public Health
https://www.readbyqxmd.com/read/28400889/evaluation-of-ocular-surface-disease-in-asian-patients-with-primary-angle-closure
#4
Tan Ee Ling, Khairuddin Othman, Ong Poh Yan, Rasdi Abdul Rashid, Cheong Min Tet, Azhany Yaakob, Liza-Sharmini Ahmad Tajudin
OBJECTIVE: To evaluate the incidence of ocular surface disease (OSD) and to determine the effects of topical pressure-lowering drugs on ocular surface disease in primary angle closure patients. METHODS: This was a cross-sectional comparative study comparing primary angle closure glaucoma (PACG) patients (Group A) with primary angle closure and primary angle closure suspect (Group B). Group A was treated with topical pressure-lowering drugs; Group B was not. Data on ocular diagnosis and details of treatment were obtained from medical records...
2017: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/28400374/aqueous-outflow-facility-after-phacoemulsification-with-or-without-goniosynechialysis-in-primary-angle-closure-a-randomised-controlled-study
#5
Ian A Rodrigues, Pouya Alaghband, Laura Beltran Agullo, Elizabeth Galvis, Stephanie Jones, Rahat Husain, K Sheng Lim
BACKGROUND: Goniosynechialysis (GSL) to remove peripheral anterior synechiae (PAS) alongside standard cataract surgery has potential theoretical advantages, Published randomised trials, however, have not shown conclusive functional benefits and aqueous outflow changes following GSL are unknown. This study aimed to compare electronic Shiøtz tonographic aqueous outflow facility (TOF) following phacoemulsification with or without GSL in patients with primary angle closure (PAC) and PAC glaucoma...
October 17, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28399038/intraoperative-optical-coherence-tomography-assisted-descemet-stripping-automated-endothelial-keratoplasty-for-anterior-chamber-fibrous-ingrowth
#6
Tarek A Shazly, Lillian K To, Ian P Conner, Ladan Espandar
PURPOSE: Here, we present the first reported case of intraoperative optical coherence tomography (OCT)-assisted Descemet membrane stripping automated endothelial keratoplasty (DSAEK) in a patient with anterior segment fibrous ingrowth. METHODS: A 61-year-old woman with corneal edema and chronic angle-closure glaucoma secondary to fibrous ingrowth after 2 glaucoma shunt device implantations underwent dissection and removal of anterior chamber fibrous ingrowth and DSAEK...
April 10, 2017: Cornea
https://www.readbyqxmd.com/read/28396513/common-polymorphisms-of-the-hogg1-ape1and-xrcc1genescorrelate-with-the-susceptibility-and-clinicopathological-features-of-primary-angle-closure-glaucoma
#7
Kun Zeng, Bo Zhong, Min Fang, Xiao-Li Shen, Li-Na Huang
This case study aims to elucidate the correlation between the hOGG1 , APE1 and XRCC1 gene polymorphisms to the susceptibility and clinicopathological features of primary angle-closure glaucoma (PACG) in a Chinese Han population. Blood samples were obtained from 258 PACG patients (case group) and 272 healthy volunteers (control group). Polymerase chain reaction with sequence specific primer (PCR-SSP) was used to determine the allele frequencies and genotype distributions of the hOGG1 , APE1 and XRCC1 genes. The risk factors of PACG were determined using logistic regression analysis...
April 10, 2017: Bioscience Reports
https://www.readbyqxmd.com/read/28388545/the-diagnostic-value-of-white-blood-cell-neutrophil-neutrophil-to-lymphocyte-ratio-and-lymphocyte-to-monocyte-ratio-in-patients-with-primary-angle-closure-glaucoma
#8
Shengjie Li, Wenjun Cao, Jianping Han, Binghua Tang, Xinghuai Sun
OBJECTIVE: Inflammatory mechanisms may have a role in the pathogenesis of primary angle closure glaucoma (PACG). The objective of this study was to investigate the diagnostic value of white blood cell (WBC), neutrophil, neutrophil to lymphocyte ratio (NLR), and lymphocyte to monocyte ratio (LMR) in patients with PACG and its association with glaucoma severity. METHOD: The study was retrospectively assessed in 771 consecutive PACG patients and 770 control subjects, laboratory parameters and clinical parameters were obtained from a medical data platform...
March 25, 2017: Oncotarget
https://www.readbyqxmd.com/read/28387107/-bilateral-angle-closure-glaucoma-induced-by-topiramate
#9
O Beaudry, V Goncette, N Collignon
Topiramate (TPM) is a drug used in migraine prophylaxis. It is involved in the bilateral angle-closure glaucoma due to idiosyncratic response. This side effect is rare but can lead to irreversible vision loss if it is not recognized in time and if it is not managed immediately by an ophthalmologist.
November 2016: Revue Médicale de Liège
https://www.readbyqxmd.com/read/28372858/visual-field-progression-in-patients-with-primary-angle-closure-glaucoma-using-pointwise-linear-regression-analysis
#10
Sushma Verma, Monisha E Nongpiur, Eray Atalay, Xin Wei, Rahat Husain, David Goh, Shamira A Perera, Tin Aung
PURPOSE: To evaluate visual field (VF) progression and rate of glaucomatous VF loss in patients with primary angle-closure glaucoma (PACG) using pointwise linear regression (PLR) trend analysis. DESIGN: Clinic-based retrospective study. PARTICIPANTS: Primary angle-closure glaucoma patients with 5 or more reliable VF tests and with 5 years or more of follow-up. METHODS: Visual field progression was assessed by PROGRESSOR software version 3...
March 31, 2017: Ophthalmology
https://www.readbyqxmd.com/read/28368996/evaluation-of-angle-closure-as-a-risk-factor-for-reduced-corneal-endothelial-cell-density
#11
Varshini Varadaraj, Sabyasachi Sengupta, Krishnamurthy Palaniswamy, Kavitha Srinivasan, Mohideen A Kader, Ganesh Raman, Sharmila Reddy, Pradeep Y Ramulu, Rengaraj Venkatesh
PURPOSE: Acute angle closure attacks are frequently accompanied by corneal edema. However, little is known about corneal endothelial cell status at different stages of angle closure. Here, we compared endothelial cell density (ECD) in unoperated eyes with that in eyes with open angles (OAs) and various stages of angle closure disease. MATERIALS AND METHODS: The study was conducted at Aravind Eye Hospitals in India. Masked examiners performed gonioscopy to classify each eye as follows: (1) OA, (2) primary angle closure suspect, or (3) primary angle closure (PAC)/primary angle closure glaucoma (PACG)...
March 31, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28356709/the-sparc-related-modular-calcium-binding-protein-2-smoc2-gene-polymorphism-in-primary-glaucoma-a-case-control-study
#12
Najwa Al-Dabbagh, Hamoud Al-Shahrani, Nourah Al-Dohayan, Md Mustafa, Misbahul Arfin, Abdulrahman K Al-Asmari
Primary glaucomas are among the most common eye diseases that may potentially result in bilateral blindness. Both genetics and environmental factors are reported to be involved in the etiology of primary glaucomas. Secreted protein acidic and rich in cysteine (SPARC)-related modular calcium binding protein 2 (SMOC2) is a matricellular glycoprotein encoded by the SMOC2 gene and known to regulate the expression of extracellular matrix (ECM) proteins and matrix metalloproteinases (MMPs), which play an important role in the pathogenesis of primary glaucomas...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28345568/prognosis-of-different-glaucomas-seen-at-a-tertiary-center-a-10-year-overview
#13
Ramanjit Sihota, Neha Midha, Harathy Selvan, Talvir Sidhu, Deepa R Swamy, Ajay Sharma, Amisha Gupta, Viney Gupta, Tanuj Dada, Sunil Chaudhary
AIM: This study aims to determine treatment patterns, long-term intraocular pressure (IOP) and perimetric control in different glaucomas seen at a tertiary eye center. SETTINGS AND DESIGN: Hospital-based, cross-sectional chart review of patients routinely following up at an outpatient glaucoma service. METHODS: Patients with a follow-up of at least 10 years were evaluated. Their mean IOP, visual field (VF) status, and medications/surgery required at final assessment were noted...
February 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28342558/high-intensity-focused-ultrasound-as-first-line-treatment-in-patients-with-chronic-angle-closure-glaucoma-at-risk-for-malignant-glaucoma
#14
M Graber, Z Khoueir, A Beauchet, N Benhatchi, S Hammoud, Y Lachkar
PURPOSE: Evaluation of high intensity focused ultrasound (HIFU) transscleral cyclocoagulation as an alternative to trabeculectomy in the treatment of refractory chronic angle closure glaucoma (CACG). METHODS: This prospective one armed single center pilot study was conducted on patients with medically uncontrolled CACG who underwent high intensity focused ultrasound (HIFU) cyclocoagulation as first line surgical treatment, using the Eye-OP1 HIFU device (Eyetechcare-Rillieux-la-Pape, France) driven by ultrasound biomicroscopic (UBM) ciliary body localization...
April 2017: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/28337343/long-term-outcomes-of-primary-trabeculectomy-in-diabetic-patients-without-retinopathy-with-primary-angle-closure-glaucoma
#15
Jian Liu, Miaomiao Zhang, Bin Li, Jianrong Wang
Purpose. To evaluate primary trabeculectomy with adjunctive mitomycin-C (MMC) in diabetic patients without retinopathy with primary angle-closure glaucoma (PACG). Design. This is a retrospective case series comparison. Participants. This retrospective trial compared outcomes of 88 eyes that underwent trabeculectomy in patients with diabetes mellitus (DM) without retinopathy and in 97 patients without DM. Methods. In this study, the intraocular pressure (IOP), visual acuity, visual field, and postoperative complications were compared between the two groups...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28333942/comparison-of-self-measured-diurnal-intraocular-pressure-profiles-using-rebound-tonometry-between-primary-angle-closure-glaucoma-and-primary-open-angle-glaucoma-patients
#16
Shaoying Tan, Nafees Baig, Linda Hansapinyo, Vishal Jhanji, Shihui Wei, Clement C Tham
PURPOSE: To document the diurnal intraocular pressure (IOP) profile with rebound tonometry performed by primary glaucoma patients in non-clinic environment. PATIENTS AND METHODS: Fifty-three medically-treated eyes of 31 primary angle closure glaucoma (PACG) and 22 primary open angle glaucoma (POAG) patients with no previous eye surgery were recruited. Diurnal IOP was measured 5 times per day at four-hourly intervals from 08:00 to 24:00 for 1 week in patients' study eye using rebound tonometry in a non-clinic environment...
2017: PloS One
https://www.readbyqxmd.com/read/28315873/clear-lens-extraction-for-early-angle-closure-glaucoma-revolution-or-overtreatment
#17
Ke Shi, Zhipeng You, Changyun Wang
<br><br>To discuss the EAGLE study initiated by Dr. Azuara - Blanco which is published in The Lancet to investigate whether clear-lens extraction(CLE) could be a useful initial treatment.<br><br>Materials (Subjects) and Methods<br><br>Guideline and textbook reference<br><br>Results: <br><br>This conclusion has challenged European guidelines for glaucoma, in which indicated that peripheral iridectomy can deepen anterior chamber(AC) angle of primary angle closure combined with plateau iris...
March 16, 2017: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/28302178/laser-peripheral-iridotomy-versus-laser-peripheral-iridotomy-plus-laser-peripheral-iridoplasty-in-the-treatment-of-multi-mechanism-angle-closure-study-protocol-for-a-randomized-controlled-trial
#18
Shida Chen, Jianhua Lv, Sujie Fan, Hong Zhang, Lin Xie, Ling Xu, Bing Jiang, Huipin Yuan, Yuanbo Liang, Shuning Li, Pingyan Chen, Xiulan Zhang, Ningli Wang
BACKGROUND: China has the largest burden of primary angle-closure glaucoma (PACG) worldwide. The mechanism of the angle closure is complex and includes pupillary block and non-pupillary block. Currently, opinion is that laser peripheral iridotomy (LPI) alone is not sufficient to prevent disease progression. Laser peripheral iridoplasty (LPIP) is an alternative and effective way of widening the angle recess in eyes that are affected by primary angle closure (PAC). However, it is not known if greater benefit would be achieved using LPI plus LPIP for PAC with multiple mechanisms (MAC)...
March 17, 2017: Trials
https://www.readbyqxmd.com/read/28299016/circumscribed-ciliochoroidal-effusion-presenting-as-an-acute-angle-closure-attack
#19
Roslyn Kathryn Manrique Lipa, María Eugenia González Sánchez, Carlos Antonio Hijar Ordovas, Abel Rojo Aragües, Carmen Garcia Borque
PURPOSE: To report a case of choroidal effusion probably caused by angiotensin receptor II blocker. CASE REPORT: A 52-year-old man with aplastic anemia and high blood pressure who developed unilateral acute angle closure glaucoma after receiving oral cyclosporine and angiotensin II receptor blocker (losartan). Ophthalmic examination revealed visual acuity of 20/30 in the left eye, mild mydriasis, iris bombe, no anterior chamber reaction, mild conjunctival hyperemia, and the intraocular pressure of 30 mmHg...
January 2017: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/28288603/a-cute-angle-closure-attack-after-an-intravitreal-bevacizumab-injection-for-branch-retinal-vein-occlusion-a-case-report
#20
Seongyong Jeong, Min Sagong, Woohyok Chang
BACKGROUND: Intravitreal injection is widely used to treat retinal vein occlusion, and acute angle closure (AAC) is an exceptional complication of intravitreal injection. The authors report a case of AAC that occurred immediately after administering intravitreal bevacizumab to treat branch retinal vein occlusion (BRVO). CASE PRESENTATION: A 65-year-old woman was referred to the retina clinic of a tertiary referral center for the treatment of macular edema secondary to BRVO...
March 14, 2017: BMC Ophthalmology
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