الجلوكوما الانسدادية مع وذمة القرنية بعد فشل العلاج الدوائي لخفض ضغط العين: إدارة الخط التالي

References

• Acute angle-closure crisis (AACC): occluded angle with symptomatic high IOP
• Symptoms of AACC include eye pain, headache, nausea/vomiting, and blurred vision with halos.
• Clinical signs of AACC are markedly elevated IOP, corneal edema, conjunctival and episcleral vascular congestion, and/or a mid-dilated pupil.
• Laser peripheral iridotomy should then be performed as soon as safely feasible.
• Laser peripheral iridotomy (or incisional iridectomy) allows aqueous to bypass the pupillary block and eliminates the pressure gradient between the posterior and anterior chambers.
• Laser peripheral iridotomy is the preferred surgical treatment because it has a favorable risk-benefit ratio.
• It can also result in significant angle widening and iris-profile flattening.

DOI: 10.1016/j.ophtha.2025.12.030