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Shamseldin Shalaby W, Reddy R, Razeghinejad R, Katz LJ. Contemporary Approach to Narrow Angles. JOVR [Internet]. 2024Mar.10 [cited 2024Apr.28];19(1):88–108. Available from: https://knepublishing.com/index.php/JOVR/article/view/15443
https://doi.org/10.18502/jovr.v19i1.15443
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authors
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Wesam Shamseldin Shalaby
Wesam Shamseldin Shalaby
Glaucoma Service, Wills Eye Hospital, Philadelphia, PA, USA
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Rohit Reddy
Rohit Reddy
Glaucoma Service, Wills Eye Hospital, Philadelphia, PA, USA
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Reza Razeghinejad
Reza Razeghinejad
Glaucoma Service, Wills Eye Hospital, Philadelphia, PA, USA
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L. Jay Katz
L. Jay Katz
Glaucoma Service, Wills Eye Hospital, Philadelphia, PA, USA
Published Date
- Mar 10, 2024
Contemporary Approach to Narrow Angles
Abstract
Glaucoma is the leading cause of irreversible blindness worldwide. Among all glaucoma types,
primary angle closure glaucoma (PACG) affects approximately 23 million people worldwide, and
is responsible for 50% of glaucoma-related blindness, highlighting the devastating consequences
of this disease. The main mechanism of PACG is relative pupillary block. High-risk populations are
female gender, Asian ethnicity, high hyperopia, short axial length, and a thick/anteriorly positioned
lens. This review discusses the clinical diagnosis, classification, and management of patients with
a narrow angle with and without intraocular pressure (IOP) elevation and glaucomatous optic
nerve damage, including laser peripheral iridotomy (LPI), endocycloplasty (ECPL), lens extraction,
and goniosynechialysis.
Keywords:
Glaucoma, Gonioscopy, Laser Peripheral Iridotomy, Lens Extraction, Narrow Angle
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