A Clinical Study of Acute Angle Closure Glaucoma.

Kim, Seong Kyun; Lee, Kyung Wha

Original Article

Journal of the Korean Ophthalmological Society 1997;38(7):1229-1235.
Published online July 1, 1997.

A Clinical Study of Acute Angle Closure Glaucoma.

Seong Kyun Kim, Kyung Wha Lee

Department of Ophthalmology, Hangang sacred heart hospital College of Medicine, Hallym University.

급성폐쇄각녹내장에 대한 임상적 고찰

김성균(Seong Kyun Kim),이경화(Kyung Hwa Lee)

Abstract

We surveyed fifty patients with the acute angle closure glaucoma from January 1, 1990 to August 31, 1996 retrospectively in order to study the clinical characteristic of disease. The mean age of the patients was 61.9 years, women were larger than men in number, right eye involvement was in nineteen patients(38%), left eye in twelve patients(24%), binocular involvement in nineteen patients(38%). The mean IOP at the first visit was 46.3mmHg. Twenty-nine patients(58%) have unknown predisposing factor, fifteen patients(30%) have known predisposing factor which is the mmature cataract or lens subluxation. In the prophylactic treatment of the fellow eye, close observasion was done in fifteen patients(49%), argon laser iridotomy was done in eight patients(26%). The surgical treatment of choice was trabeculectomy, peripheral iridectomy, laser iridotomy or triple operation. At the last follow-up, fifty-six eyes(96%) had intraocular pressure of 21mmHg or less as complete success and best-corrected visual acuity was better than the preoperative best-corrected visual acuity in all patients.

Key Words: Acute angle closure glaucoma;Immature cataract;Laser iridotomy;Lens subluxtion;Peripheral iridectomy;Trabeculectomy;Triple operation