[Treatment of acute angle-closure glaucoma].
Treatment of acute angle-closure glaucoma is now better adapted for each stage of the disease. The urgent necessity to lower intraocular pressure is normally achieved using medical therapy followed by laser peripheral iridotomy and sometimes by filtration surgery. Early argon laser peripheral iridoplasty is effective and safe in some cases, allowing a very early peripheral iridotomy to be performed and avoiding systemic treatment. When surgery is required, lens extraction must be considered. In all cases, IOP control and regular gonioscopic examination the 1st Year are essential to detect peripheral anterior synechiae.
Service d'Ophtalmologie, HIA du Val de Grâce, 74 boulevard de Port Royal, 75005 Paris.
J-P
JP
Renard
J-M
JM
Giraud
A
A
Oubaaz
D000208:Acute Disease; D000316:Adrenergic alpha-Agonists / Q000627:therapeutic use; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000368:Aged; D002257:Carbonic Anhydrase Inhibitors / Q000627:therapeutic use; D002387:Cataract Extraction; D004630:Emergencies; D005500:Follow-Up Studies; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery; D053685:Laser Therapy; D008028:Light Coagulation; D008916:Miotics / Q000627:therapeutic use; D018918:Phacoemulsification; D013997:Time Factors
D000316:Adrenergic alpha-Agonists; D000319:Adrenergic beta-Antagonists; D002257:Carbonic Anhydrase Inhibitors; D008916:Miotics