Abstract

Cataract extraction as primary treatment for narrow angle glaucoma

Highlights

  • Anatomical narrow angle is a precursor to acute and/or chronic angle closure and angle closure glaucoma

  • Van Herrick method via slit lamp examination was used initially to determine if patients had narrow angles

  • Patients were considered to have narrow angles if trabecular meshwork or scleral spur was not noted in any quadrant

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Summary

Introduction

Anatomical narrow angle is a precursor to acute and/or chronic angle closure and angle closure glaucoma. Acute angle closure is an ocular emergency that may be stabilized medically but is a surgical disease. Patients in acute angle closure (AAC) may have painful red eyes, tearing, blurred vision from corneal edema, halos around lights, circumlimbal injection, nausea, vomiting, headache, and fixed mid-dilated pupil [1]. A patient at the local Veteran’s Affairs medical center described the pain from AAC to be more severe than the combination of being shot and stabbed. ACG is more common with increasing age and in females, hyperopes, Asians, East Indians, and the Inuit Eskimo population [1]. ACG is a surgical disease and has historically been treated with

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