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https://doi.org/10.1111/j.1442-9071.2009.02060.x
DC Field | Value | |
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dc.title | Outcomes following acute primary angle closure in an Asian population | |
dc.contributor.author | Tan, A.M. | |
dc.contributor.author | Loon, S.C. | |
dc.contributor.author | Chew, P.T.K. | |
dc.date.accessioned | 2016-11-29T01:20:06Z | |
dc.date.available | 2016-11-29T01:20:06Z | |
dc.date.issued | 2009 | |
dc.identifier.citation | Tan, A.M., Loon, S.C., Chew, P.T.K. (2009). Outcomes following acute primary angle closure in an Asian population. Clinical and Experimental Ophthalmology 37 (5) : 467-472. ScholarBank@NUS Repository. https://doi.org/10.1111/j.1442-9071.2009.02060.x | |
dc.identifier.issn | 14426404 | |
dc.identifier.uri | http://scholarbank.nus.edu.sg/handle/10635/131562 | |
dc.description.abstract | Background: Data regarding development of primary angle closure glaucoma (PACG) following acute primary angle closure (APAC) is conflicting. This study looks at outcomes after an APAC episode with a secondary aim to identify any risk factors that could predict progression to PACG. Methods: This is a retrospective review of the charts of consecutive patients who were diagnosed with APAC from December 2003 to June 2006. All were treated in a standard manner with initial intensive medical therapy or laser iridoplasty followed by early laser peripheral iridotomy within 24h of presentation. Results: Forty-two eyes of 41 patients were analysed. The mean follow-up period was 27.3 ± 16.2 months. Nine eyes (21.4%) developed an increase in intraocular pressure (IOP) within a mean of 11.9 months (median 5 months) after resolution of APAC. Eight eyes went on to have trabeculectomy or glaucoma drainage device. At final follow up, the mean IOP of attack eye was 13.3 ± 2.92 mmHg. None of the eyes, including those that underwent surgery, required topical medication to control IOP. Thirty-eight eyes (90.5%) have BCVA of 6/6 to 6/12. The duration of symptoms before presentation (P = 0.00) and duration taken to abort the acute attack (P = 0.01) were found to be significantly associated with development of PACG. Conclusion: The results of this study suggest that outcomes following successful treatment of APAC may not be as poor as described previously. Early aggressive management of the acute episode may have a role to play in preventing development of PACG after APAC. © 2009 The Authors. Journal compilation © 2009 Royal Australian and New Zealand College of Ophthalmologists. | |
dc.description.uri | http://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1111/j.1442-9071.2009.02060.x | |
dc.source | Scopus | |
dc.subject | Angle closure | |
dc.subject | Glaucoma | |
dc.subject | Laser peripheral iridotomy | |
dc.type | Article | |
dc.contributor.department | OPHTHALMOLOGY | |
dc.description.doi | 10.1111/j.1442-9071.2009.02060.x | |
dc.description.sourcetitle | Clinical and Experimental Ophthalmology | |
dc.description.volume | 37 | |
dc.description.issue | 5 | |
dc.description.page | 467-472 | |
dc.description.coden | CEOPB | |
dc.identifier.isiut | 000267948600007 | |
Appears in Collections: | Staff Publications |
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