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Chapter-07 Management of Primary Angle-Closure Glaucoma (PACG)

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Marchini G
2. Marraffa M
3. Morbio R
4. Ceruti P
ISBN
9788184489583
DOI
10.5005/jp/books/11383_7
Edition
1/e
Publishing Year
2010
Pages
12
Author Affiliations
1. University of Verona, Borgo Trento Hospital, P.Ie. A. Stefani, 1, 37126 Verona, Italy, University of Verona, Borgo Trento Hospital, PIe A Stefani, 1, 37126 Verona, Italy, University of Verona, Borgo Trento Hospital, P.Ie. A. Stefani, 137126 Verona, Italy
2. University of Verona, Borgo Trento Hospital, P.Ie. A. Stefani, 1, 37126 Verona, Italy, University of Verona, Borgo Trento Hospital, PIe A Stefani, Verona, Italy, University of Verona, Borgo Trento Hospital PIe A Stefani, 137126 Verona, Italy
3. University of Verona, Borgo Trento Hospital, P.Ie. A. Stefani 1, 37126 Verona, Italy, University of Verona, Borgo Trento Hospital, PIe A Stefani, 1, 37126 Verona, Italy, University of Verona, Borgo Trento Hospital PIe A Stefani, 137126 Verona, Italy
4. University of Verona, Borgo Trento Hospital, P.Ie. A. Stefani, 1, 37126 Verona, Italy, University of Verona, Borgo Trento Hospital, PIe A Stefani, Verona, Italy, University of Verona Borgo Trento Hospital PIe A Stefani, 137126 Verona, Italy
Chapter keywords
management of primary angle-closure glaucoma (PACG), angle-closure due to pupillary block, laser iridotomy, corneal indentation, phacoemulsification of the lens, therapy of asymptomatic narrow angle

Abstract

This chapter discusses management of primary angle-closure glaucoma (PACG). Angle-closure glaucoma is characterized by numerous clinical pictures that differ from one another both in their pathogenesis and in their clinical presentation. PACG may present in different clinical forms. Angle-closure mechanisms, angle-closure due to pupillary block, angle-closure due to direct crowding of the angle, and angle-closure due to mixed mechanisms are explained. Essential therapy for acute attack of PACG, laser iridotomy, corneal indentation, paracentesis of the anterior chamber, laser peripheral iridoplasty, filtering surgery, phacoemulsification of the lens, intermittent PACG, and so are described. Chronic PACG, therapy of chronic PACG, chronicised PACG, therapy of chronicised PACG, asymptotic narrow angle, therapy of asymptomatic narrow angle, and so on are discussed.

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