1,592 results match your criteria Glaucoma Angle Closure Acute

Atypical Cogan's Syndrome with Choroidal Effusion: A Case Report.

Case Rep Ophthalmol 2022 May-Aug;13(2):336-340. Epub 2022 May 2.

Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.

Cogan's syndrome is a rare form of autoimmune vasculitis that manifests with ocular and audiovestibular symptoms. The clinical presentations of Cogan's syndrome can be classified as typical and atypical, and the auditory symptoms are classically similar to those seen in cases of Meniere's syndrome. Without treatment, Cogan's syndrome could become severe, resulting in sensorineural hearing loss in over 50% of patients. Read More

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A New Mechanism of Silicone Oil-Induced Glaucoma and Its Management.

Case Rep Ophthalmol Med 2022 2;2022:2343139. Epub 2022 Jun 2.

Glaucoma Services, Centre for Sight, B-5/24, Safdarjung Enclave, New Delhi, India.

Purpose: To describe a case of secondary acute angle closure glaucoma due to silicone oil migration into the posterior chamber causing entrapment of aqueous and its successful management. . A 69-year-old female presented with decreased vision and pain in the left eye (LE) for one month. Read More

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Bilateral simultaneous primary acute angle-closure glaucoma.

Precis Clin Med 2020 Dec 7;3(4):297-300. Epub 2020 Oct 7.

Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China.

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December 2020

Comparison of Laser Iridotomy and Lensectomy Outcomes for Acute Primary Angle Closure.

J Ophthalmol 2022 30;2022:6959479. Epub 2022 May 30.

Department of Ophthalmology, School of Medicine, Kitasato University, Tokyo, Japan.

Purpose: To compare the clinical outcomes of the different treatments for acute primary angle closure (APAC).

Methods: We retrospectively reviewed the clinical charts of 87 eyes of 87 patients undergoing treatment for APAC. We investigated the best spectacle-corrected visual acuity (BSCVA), intraocular pressure (IOP), corneal endothelial cell density (ECD), and secondary interventions after each treatment. Read More

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Acute Angle-Closure Attacks Are Uncommon in Primary Angle-Closure Suspects after Pharmacologic Mydriasis: The Zhongshan Angle-Closure Prevention Trial.

Ophthalmol Glaucoma 2022 May 11. Epub 2022 May 11.

National Institute for Health and Care Research Biomedical Research Centre at Moorfields Eye Hospital, London, England; University College London Institute of Ophthalmology, London, England.

Purpose: Angle-closure glaucoma is a major cause of blindness worldwide that carries an excessive risk of severe, bilateral visual impairment. A common concern among clinicians is the precipitation of acute angle-closure (AAC) attacks because of mydriasis. We evaluated the risk of AAC after pharmacologic dilation in Chinese individuals classified as having bilateral primary angle-closure suspects (PACSs). Read More

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Potentially Missed Opportunities in Prevention of Acute Angle-Closure Crisis.

JAMA Ophthalmol 2022 Jun;140(6):598-603

Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor.

Importance: If an anatomic narrow angle is not appropriately diagnosed and treated, it can result in acute angle-closure crisis (AACC) and lead to substantial vision loss.

Objective: To identify patients who presented with AACC and assess for factors that may have been associated with risk of developing it.

Design, Setting, And Participants: This population-based retrospective cohort study conducted from January 1, 2001, to December 31, 2015, included a 20% nationwide sample of 1179 Medicare beneficiaries. Read More

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Missed Opportunities in Preventing Acute Angle Closure-Needlessly Blind?

JAMA Ophthalmol 2022 Jun;140(6):604-605

Moorfields Eye Hospital Biomedical Research Centre, London, United Kingdom.

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Topiramate-induced acute angle closure: A systematic review of case reports and case series.

Indian J Ophthalmol 2022 05;70(5):1491-1501

King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Topiramate-induced acute angle closure (TiAAC) is a potentially vision-threatening side effect of topiramate (TPM) use. The purpose of this article is to review demographic characteristics, clinical features, and management options of TiAAC. A systematic literature search of all reported cases and case series of TiAAC was conducted in the following search engines: PubMed, Web of Science, Google Scholar, Elsevier, and EBSCO. Read More

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Cataract progression after Nd:YAG laser iridotomy in primary angle-closure suspect eyes.

Br J Ophthalmol 2022 May 2. Epub 2022 May 2.

Glaucoma Center of Excellence, Massachusetts Eye and Ear, Harvard University, Boston, Massachusetts, USA.

Background/aims: Prophylactic laser peripheral iridotomy (LPI) is performed in primary angle-closure suspect (PACS) eyes to prevent acute angle-closure attacks. However, accelerated cataractogenesis is a potential risk of the procedure that may result in decreased visual acuity. We aimed to assess the long-term impact of LPI on cataract formation in Chinese PACS. Read More

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[Phacoemulsification in prevention of acute angle-closure glaucoma attack].

Vestn Oftalmol 2022 ;138(2):37-46

Khabarovsk branch of S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery»», Khabarovsk, Russia.

Analysis of the effectiveness of preventative phacoemulsification (PE) in anatomically short eyes with an increased risk of an acute glaucoma attack in thickened lens can help in choosing the optimal management tactics for these patients.

Purpose: To study the changes in morphometric parameters of the anterior segment of anatomically short eyes with an increased risk of acute glaucoma attack before and after preventative PE.

Material And Methods: The study included 70 patients (70 eyes) with a high risk of acute glaucoma attack in short anatomical axial length and thickened lens, with posterior and middle positions of the ciliary body. Read More

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Spontaneous suprachoroidal haemorrhage in haemophilia coincident with ChAdOx1 nCoV-19 vaccine.

Eur J Ophthalmol 2022 Apr 28:11206721221098207. Epub 2022 Apr 28.

Department of Transfusion Medicine, 29988Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India.

Purpose: To report a case of spontaneous suprachoroidal haemorrhage in a haemophilia patient immediately following ChAdOx1 nCoV-19 vaccination.

Case Presentation: A 60-year-old man with haemophilia developed painful vision loss in his left eye a day following the ChAdOx1 nCoV-19 vaccination due to acute angle-closure glaucoma from a massive suprachoroidal haemorrhage. He had an extremely deranged coagulation profile; activated partial thromboplastin time (APTT): 89 s, normal range 29-35 s After factor VIII transfusion, ocular hypotensive therapy and systemic/topical steroids, the suprachoroidal haemorrhage and glaucoma resolved, but the vision remained poor. Read More

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Valsalva-Induced Spontaneous Suprachoroidal Hemorrhage: A Case Report and Review of the Literature.

Klin Monbl Augenheilkd 2022 Apr 26;239(4):559-564. Epub 2022 Apr 26.

Department of Ophthalmology, Jules-Gonin Eye Hospital, FAA, University of Lausanne, Lausanne, Switzerland.

We report a rare case of spontaneous suprachoroidal hemorrhage and present a systematic review of the literature using PubMed/Medline databases. Patients that developed a spontaneous suprachoroidal hemorrhage with a history of previous intraocular surgery were excluded. An 82-year-old male patient with no known ocular pathologies or surgical history was referred with acute ocular pain and decreased vision in the right eye (BCVA: 0. Read More

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Pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma and posterior subcapsular cataract: a case report.

BMC Ophthalmol 2022 Apr 22;22(1):184. Epub 2022 Apr 22.

Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.

Background: Pigmented paravenous retinochoroidal atrophy (PPRCA) is a rare fundus disease characterized by the presence of osteoblast-like pigment, atrophy of retinal pigment epithelium (RPE), and choroid deposition along the large retinal veins.

Case Presentation: A 55-year-old Chinese female presented with right eye distention and bilateral vision loss. Osteocyte-like pigmentation and retinal choroidal atrophy distributed along the large retinal veins were seen in the fundus of bilateral eyes. Read More

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Measurement of retina/choroid complex perfusion with magnetic resonance imaging in eyes with acute primary angle-closure.

Arq Bras Oftalmol 2021 10;85(2):166-173. Epub 2021 Sep 10.

Department de Ophthalmology, University of Campinas, Campinas, Brazil.

Purpose: To measure retina/choroid complex perfusion with magnetic resonance imaging in eyes with acute primary angle-closure (APAC).

Methods: Three sequences of magnetic resonance imaging, two anatomical and one perfusional using gadolinium, were acquired in patients who were diagnosed with acute primary angle-closure. Regions of interest were drawn on the perfusional sequence and overlaid to the anatomical sequence. Read More

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Sumatriptan dose increase-induced acute angle closure glaucoma in chronic migraine sufferer.

Drug Ther Bull 2022 Apr 7. Epub 2022 Apr 7.

Ophthalmology, Epsom and Saint Helier Hospital NHS Trust, Carshalton, Sutton, UK.

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Acute angle-closure glaucoma after total knee replacement surgery: case report and literature review.

Pan Afr Med J 2022 25;41:68. Epub 2022 Jan 25.

Department of Orthopedic Surgery, Habib Bourguiba Hospital, Sfax, Tunisia.

An early and correct diagnosis improves the prognosis of post-operative Acute angle closure glaucoma (AACG). A 65 years-old monophtalmus man was operated for a total knee replacement surgery, under general anaesthesia without any adverse events. The day after, the patient described recurrent periorbital pain in his eye, with ocular hyperaemia, and reduced visual acuity. Read More

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[Comparison study for the proportion of underdiagnosed zonulopathy in angle closure glaucoma].

Zhonghua Yan Ke Za Zhi 2022 Mar 11;58:1-10. Epub 2022 Mar 11.

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab, Beijing Ophthalmic Institute, Beijing 100730, China.

To analyze the proportion and clinical characteristics of underdiagnosed zonulopathy in angle closure glaucoma (ACG) patients and to explore the related risk factors. Case-control study. Continuous cases of ACG patients who underwent phacoemulsification combined with intraocular lens implantation and goniosynechialysis surgery [ACG group, including acute angle closure glaucoma (AACG) and chronic angle closure glaucoma (CACG)] from November 1, 2020 to October 31, 2021 and age-related cataract patients who underwent phacoemulsification combined with intraocular lens implantation surgery in the same period (control group) were included. Read More

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Reasons for choice of glaucoma surgery in eyes not treated with anti-glaucoma medications.

BMC Ophthalmol 2022 Mar 30;22(1):145. Epub 2022 Mar 30.

Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, Japan.

Background: In the real world, some glaucoma patients can undergo an incisional glaucoma surgery without using medication. The rate of cases with no medication treatment at the time of surgery among those that underwent incisional glaucoma surgeries performed in our department was reported.

Methods: The department database of Shimane University Hospital for eyes that underwent incisional surgeries to manage glaucoma at the hospital between April 2018 and September 2020 were searched. Read More

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Very High-Frequency Ultrasonography Signs in Bilateral Acute Choroidal Effusion Associated with Systemic Sulphonamide Medications: 2 Cases.

Case Rep Ophthalmol 2022 Jan-Apr;13(1):64-69. Epub 2022 Feb 14.

Unidad de Retina Quirúrgica y Tumores Intraoculares del Adulto (URQTIA), Área Sanitaria de Santiago de Compostela y Barbanza, Complejo Hospitalario Universitario de Santiago de Compostela, Servizo Galego de Saúde (SERGAS), A Coruña, Spain.

Sulphonamides are commonly used in medicine for several purposes; however, they can lead to significant adverse effects, including idiosyncratic reactions and choroidal detachment corresponding to a forward rotation of the iris-lens diaphragm; this could also evolve into acute transient myopia with possible acute angle closure glaucoma. The risk of such reactions to sulphonamides is approximately 3%. In our communication, we have reported on 2 cases involving patients who suffered choroidal detachments after starting sulphonamide treatments and who were diagnosed with the help of ultrasound biomicroscopy. Read More

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February 2022

Clinical Observation of Laser Peripheral Iridoplasty with Number of Laser Shots in the Treatment of Acute Angle-Closure Glaucoma.

J Healthc Eng 2022 15;2022:7968999. Epub 2022 Mar 15.

Department of Ophthalmology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin 300192, China.

Objective: To quantitatively study the intraocular pressure (IOP) control and chamber angle opening degree of patients with acute angle-closure glaucoma (stage of attack) treated by laser peripheral iridoplasty (LPIP) with different numbers of laser shots, and to evaluate the efficacy and safety of different numbers of laser shots.

Methods: Fifty-five patients (60 eyes) with acute angle-closure glaucoma treated in our hospital from May 2019 to December 2020 were selected as the research subjects. All patients had poor intraocular pressure control (≥40 mmHg) after IOP-lowering drug therapy. Read More

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Comparison of uveal parameters between acute primary angle-closure eyes and fellow eyes in South Indian population.

Indian J Ophthalmol 2022 Apr;70(4):1232-1238

Department of Biostatistics, Aravind Eye Hospital and Postgraduate Institute of Ohthalmology, Tamil Nadu, India.

Purpose: : To analyze the ocular biometric parameters of eyes with acute primary angle closure (APAC) as compared to fellow eyes.

Methods: : A cross-sectional study was conducted on 27 patients presenting with recent onset APAC to a tertiary eye institute in India. Anterior and posterior ocular biometric parameters were measured simultaneously by anterior segment optical coherence tomography (AS-OCT), A-scan, ultrasound biomicroscopy (UBM), and B-mode ultrasonogram (USG). Read More

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Comparison of iridolenticular contact area under different light brightness between post primary acute angle closure and cataract eyes.

BMC Ophthalmol 2022 Mar 11;22(1):113. Epub 2022 Mar 11.

Joint Shantou International Eye Center, Shantou University and The Chinese University of Hong Kong, Dongxia Road, Shantou, Guangdong Province, The People's Republic of China.

Background: To study the iridolenticular contact area (ILCA) under different light conditions in acute primary angle closure (APAC).

Methods: This cross-sectional, observational study involved 22 unilateral APAC patients and 59 cataract patients (59 eyes). Images of the APAC eyes, fellow eyes and cataract eyes were collected by anterior segment optical coherence tomography (ASOCT) under different light conditions respectively. Read More

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Visual Loss after Cosmetic Blepharoplasty Using Local Anaesthesia Containing Epinephrine - A Case Series.

Ann Maxillofac Surg 2021 Jul-Dec;11(2):340-343. Epub 2022 Feb 1.

European Face Centre, Universitair Ziekenhuis Brussel, Brussels, Belgium.

Rationale: Surgeons should be aware of the risk of vision loss associated with blepharoplasty.

Patient Concerns: All patients complained of decreased vision, redness and/or pain after blepharoplasty using only local anaesthesia containing epinephrine.

Diagnosis: Diagnosis of angle-closure glaucoma (ACG) was made clinically (decreased visual acuity (VA), increased intraocular pressure and a mid-dilated pupil) and through examination (slit lamp examination and dynamic gonioscopy revealed corneal oedema and a shallow anterior chamber respectively). Read More

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February 2022


Ulster Med J 2022 Jan 11;91(1):55-56. Epub 2022 Feb 11.

Centre for Public Health, Queen's University Belfast, Belfast BT12 6BA.

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January 2022

Spontaneous resolution of recurrent Descemet's membrane detachment after trabeculectomy: A case report.

Am J Ophthalmol Case Rep 2022 Mar 20;25:101276. Epub 2022 Jan 20.

Department of Ophthalmology, Qianfoshan Hospital Affiliated with Shandong University, Jinan, 250014, China.

Purpose: We report a rare case of recurrent Descemet's membrane detachment (DMD) post-trabeculectomy which was resolved spontaneously without surgical intervention.

Observations: A 66-year-old patient with a history of acute angle closure glaucoma in his right eye presented to our hospital. The intraocular pressure (IOP) of his right was 40 mm Hg, and the visual acuity was10/20. Read More

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Case Report: Vogt-Koyanagi-Harada Syndrome Mimicking Acute Angle-Closure Glaucoma in a Patient Infected With Human Immunodeficiency Virus.

Xue Bai Rui Hua

Front Med (Lausanne) 2021 12;8:752002. Epub 2022 Jan 12.

Department of Ophthalmology, First Hospital of China Medical University, Shenyang, China.

Vogt-Koyanagi-Harada disease (VKH) is a rare multisystemic inflammatory autoimmune disorder. Glaucoma secondary to VKH frequently occurs during the recurrent phase of anterior uveitis; however, acute angle-closure glaucoma (ACG) secondary to both VKH and human immunodeficiency virus (HIV) infection has rarely been reported. We describe a case of secondary acute ACG involving VKH, characterized by sudden vision loss, moderately elevated intraocular pressure (IOP), shallow anterior chamber, and fully or partially closed angle, in an HIV-infected patient. Read More

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January 2022

Ocular Manifestations of Acute Secondary Angle Closure Associated With Lens Subluxation.

Front Med (Lausanne) 2021 14;8:738745. Epub 2022 Jan 14.

Department of Ophthalmology and Vision Science, Eye & Ear Nose and Throat (ENT) Hospital of Fudan University, Shanghai, China.

Purpose: To evaluate the clinical characteristics and ocular features of patients with acute secondary angle closure, associated with lens subluxation (ASAC-LS).

Methods: We performed a retrospective study at the EENT Hospital of Fudan University, Shanghai, China. A total of 41 affected eyes from 41 patients were enrolled in this study. Read More

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January 2022

Detection of plasma complement and immune globulin in different sorts of glaucoma.

Eur J Ophthalmol 2022 Jan 28:11206721221074202. Epub 2022 Jan 28.

74573Peking University Shenzhen Hospital, 518036, PR China.

Purpose: To compare the plasma immune globulin and complement levels in different sorts of glaucoma to assess its association.

Methods: Plasma samples were collected from 226 normal controls and 236 glaucoma patients included 92 with acute primary angle-closure glaucoma (APACG), 76 with chronic primary angle-closure glaucoma (CPACG), 68 with primary open-angle glaucoma (POAG). 163 glaucoma patients with high intraocular pressure(IOP) was classified as a subgroup. Read More

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January 2022

Outcomes of trabeculectomy in eyes with refractory acute primary angle-closure in Indian eyes.

Indian J Ophthalmol 2022 Feb;70(2):580-584

VST Glaucoma Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India.

Purpose: To report the outcomes of trabeculectomy in eyes with refractory acute primary angle-closure attack.

Methods: Patients with acute primary angle-closure attack and who underwent trabeculectomy for medically uncontrolled intraocular pressure within 2 months of presentation were retrospectively analyzed. Primary outcome was intraocular pressure (IOP). Read More

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February 2022