Review of recent advancements in the understanding of primary angle-closure glaucoma

Abstract

Primary angle-closure glaucoma is a leading cause of blindness worldwide. However, the terminology used for angle-closure in the literature is inconsistent, with inappropriate emphasis on symptomatology. A new nomenclature for primary angle-closure glaucoma focuses on the presence of end-organ damage and limits the use of the term "glaucoma" only for people who have suffered injury to the optic nerve. This review describes the various modalities of treatment for primary angle-closure glaucoma. The role and limitations of laser peripheral iridotomy in the management of the different forms of the disease are summarized. Recent developments have led to improvements in the understanding of the epidemiology, clinical course, and treatment of the condition. © 2002 Lippincott Williams & Wilkins, Inc.