By C. Hong, T. Yamamoto, K.H. Park, Y.Y. Kim
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Extra resources for Angle Closure Glaucoma
Conversely, patients with chronic angle-closure glaucoma may experience rapidly rising IOP and develop acute angle-closure glaucoma. The group with latent angle-closure glaucoma, remain more difficult to define. More predictive accuracy is needed in provocative tests to identify who will eventually develop PACG. Ultimately, any classification system based on symptoms cannot identify the etiology of angle-closure glaucoma and provides little guidance in the management of cases. Classification based on mechanism Descriptions of the mechanism of angle-closure glaucoma usually identifies four different sites of obstruction to the physiological flow of aqueous, each one lying progressively more posterior.
The extent of PAS is related to the severity of angle-closure glaucoma. 42,43 However, the level of severity may vary and depend on the extent of angle closed and on the efficiency of the remaining open angle. The status of uveoscleral outflow and of aqueous production capacity by the ciliary body may also be important variables. Several studies have evaluated the topographic distribution of PAS. 46 Mok et al. indb 37 16-8-2007 9:46:31 38 Yong Yeon Kim Fig. 9. Gonioscopic findings of patch (left) and broad (right) peripheral anterior synechiae.
Trans Am Acad Ophthalmol Otolaryngol 1977;83:122-130. 15. Tornquist R. Angle-closure glaucoma in an eye with a plateau type of iris. Acta Ophthalmol (Copenh) 1958;36:413-20. 16. Shaffer RN: Gonioscopy, ophthalmoscopy and perimetry. Trans Am Acad Ophthalmol Otolaryngol 1960;64:112-27. 17. Chandler PA, Grand WM. Lectures on Glaucoma. Philadelphia: Lea & Febiger; 1965. 18. Palvin CJ, Ritch R, Foster FS. Ultrasound biomicroscopy in plateau iris syndrome. Am J Ophthalmol 1992;113:390-5. 19. Ritch R.
Angle Closure Glaucoma by C. Hong, T. Yamamoto, K.H. Park, Y.Y. Kim