Conventional and emerging treatments in the management of acute primary angle closure

Pui Yi Boey1, Shweta Singhal1, Shamira A Perera1, Tin Aung1,21Singapore Eye Research Institute, Singapore National Eye Centre, 2Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeAbstract: The management of acute primary angle closure is directed...

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Autores principales:	Boey PY, Singhal S, Perera SA, Aung T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7dfee4347e9940c5b4fff91c7f51ec65
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spelling	oai:doaj.org-article:7dfee4347e9940c5b4fff91c7f51ec652021-12-02T01:05:14ZConventional and emerging treatments in the management of acute primary angle closure1177-54671177-5483https://doaj.org/article/7dfee4347e9940c5b4fff91c7f51ec652012-03-01T00:00:00Zhttp://www.dovepress.com/conventional-and-emerging-treatments-in-the-management-of-acute-primar-a9494https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Pui Yi Boey1, Shweta Singhal1, Shamira A Perera1, Tin Aung1,21Singapore Eye Research Institute, Singapore National Eye Centre, 2Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeAbstract: The management of acute primary angle closure is directed at lowering the intraocular pressure and relieving pupil block. Conventional treatment involves the use of medical treatment and laser peripheral iridotomy, respectively, as a means for achieving these aims. Newer therapeutic strategies have been described that are potentially useful adjuncts or alternatives to conventional treatment. Emerging strategies that lower intraocular pressure include anterior chamber paracentesis, as well as laser procedures such as iridoplasty and pupilloplasty. A possible alternative to relieving pupil block is lens extraction, and may be combined with adjunctive measures such as goniosynechiolysis and viscogoniosynechiolysis. Trabeculectomy has a limited role in the acute setting. This review paper reviews the current evidence regarding conventional and newer treatment modalities for acute primary angle closure.Keywords: intraocular pressure, pupil block, anterior chamber paracentesis, iridoplasty, pupilloplasty, goniosynechiolysis, viscogoniosynechiolysis, trabeculectomyBoey PYSinghal SPerera SAAung TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 417-424 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Boey PY Singhal S Perera SA Aung T Conventional and emerging treatments in the management of acute primary angle closure
description	Pui Yi Boey1, Shweta Singhal1, Shamira A Perera1, Tin Aung1,21Singapore Eye Research Institute, Singapore National Eye Centre, 2Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeAbstract: The management of acute primary angle closure is directed at lowering the intraocular pressure and relieving pupil block. Conventional treatment involves the use of medical treatment and laser peripheral iridotomy, respectively, as a means for achieving these aims. Newer therapeutic strategies have been described that are potentially useful adjuncts or alternatives to conventional treatment. Emerging strategies that lower intraocular pressure include anterior chamber paracentesis, as well as laser procedures such as iridoplasty and pupilloplasty. A possible alternative to relieving pupil block is lens extraction, and may be combined with adjunctive measures such as goniosynechiolysis and viscogoniosynechiolysis. Trabeculectomy has a limited role in the acute setting. This review paper reviews the current evidence regarding conventional and newer treatment modalities for acute primary angle closure.Keywords: intraocular pressure, pupil block, anterior chamber paracentesis, iridoplasty, pupilloplasty, goniosynechiolysis, viscogoniosynechiolysis, trabeculectomy
format	article
author	Boey PY Singhal S Perera SA Aung T
author_facet	Boey PY Singhal S Perera SA Aung T
author_sort	Boey PY
title	Conventional and emerging treatments in the management of acute primary angle closure
title_short	Conventional and emerging treatments in the management of acute primary angle closure
title_full	Conventional and emerging treatments in the management of acute primary angle closure
title_fullStr	Conventional and emerging treatments in the management of acute primary angle closure
title_full_unstemmed	Conventional and emerging treatments in the management of acute primary angle closure
title_sort	conventional and emerging treatments in the management of acute primary angle closure
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/7dfee4347e9940c5b4fff91c7f51ec65
work_keys_str_mv	AT boeypy conventionalandemergingtreatmentsinthemanagementofacuteprimaryangleclosure AT singhals conventionalandemergingtreatmentsinthemanagementofacuteprimaryangleclosure AT pererasa conventionalandemergingtreatmentsinthemanagementofacuteprimaryangleclosure AT aungt conventionalandemergingtreatmentsinthemanagementofacuteprimaryangleclosure
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Conventional and emerging treatments in the management of acute primary angle closure

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