Please use this identifier to cite or link to this item: https://doi.org/10.1111/ceo.13024
Title: Long-term outcomes after acute primary angle closure of Caucasian chronic angle closure glaucoma patients
Authors: Fea, A.M
Dallorto, L
Lavia, C
Pignata, G
Rolle, T
Aung, T 
Keywords: antiglaucoma agent
acute primary angle closure
adult
aged
Article
best corrected visual acuity
case study
Caucasian
closed angle glaucoma
controlled study
cross-sectional study
female
follow up
human
intraocular hypertension
intraocular pressure
iridotomy
major clinical study
male
observational study
perimetry
phacoemulsification
pseudophakia
retrospective study
acute disease
chronic disease
closed angle glaucoma
filtering operation
low level laser therapy
middle aged
pathophysiology
physiology
procedures
prognosis
time factor
very elderly
visual acuity
visual field
Acute Disease
Aged
Aged, 80 and over
Chronic Disease
Female
Filtering Surgery
Follow-Up Studies
Glaucoma, Angle-Closure
Humans
Intraocular Pressure
Laser Therapy
Male
Middle Aged
Prognosis
Retrospective Studies
Time Factors
Visual Acuity
Visual Fields
Issue Date: 2018
Citation: Fea, A.M, Dallorto, L, Lavia, C, Pignata, G, Rolle, T, Aung, T (2018). Long-term outcomes after acute primary angle closure of Caucasian chronic angle closure glaucoma patients. Clinical and Experimental Ophthalmology 46 (3) : 232-239. ScholarBank@NUS Repository. https://doi.org/10.1111/ceo.13024
Rights: Attribution 4.0 International
Abstract: Importance: There is a lack of information about long-term results of chronic angle closure glaucoma following an acute primary angle closure attack in Caucasian patients. Purpose: The aim of the study was to report morphological and functional long-term data of chronic angle closure eyes following a monolateral primary angle closure attack and to provide a comparison with their fellow eyes. Design: Observational retrospective case series. Participants: Fifty-seven consecutive patients (114 eyes) underwent long-term follow-up analysis. Methods: Patients underwent ophthalmic assessment more than 5 years since the angle closure attack. Main Outcome Measures: Intraocular pressure, best-corrected visual acuity, angle assessment, vertical C/D ratio and standard automated perimetry were the main outcome measures. Comparisons were made between angle closure attack eyes and fellow eyes and between phakic and pseudophakic eyes. Results: Mean follow-up time was 5.86 ± 1.19 years. A significant greater damage in the angle closure eyes compared with fellow eyes in both structural (mean C/D 0.61 ± 0.16; P < 0.001) and functional (mean deviation: −7.98 ± 6.46 vs. −4.83 ± 4.95 dB; P < 0.001) terms was present. Mean IOP was 13.44 ± 2.78 and 13.89 ± 2.60 mmHg in angle closure and fellow eyes (P = 0.11). Thirty of 57 (53%) fellow eyes developed chronic angle closure (mean deviation: −7.74 ± 5.21 dB) even if prophylactic iridotomy was promptly performed. Conclusion and Relevance: Our study prompts ophthalmologists to closely follow patients after an APAC attack to prevent potential glaucoma damage in both APAC and fellow eye. © 2017 The Authors Clinical & Experimental Ophthalmology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Ophthalmologists
Source Title: Clinical and Experimental Ophthalmology
URI: https://scholarbank.nus.edu.sg/handle/10635/181203
ISSN: 14426404
DOI: 10.1111/ceo.13024
Rights: Attribution 4.0 International
Appears in Collections:Elements
Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
10_1111_ceo_13024.pdf1.4 MBAdobe PDF

OPEN

NoneView/Download

SCOPUSTM   
Citations

4
checked on Oct 16, 2021

Page view(s)

78
checked on Oct 14, 2021

Google ScholarTM

Check

Altmetric


This item is licensed under a Creative Commons License Creative Commons