Initial Treatment for Primary Angle-Closure Glaucoma in China.
Liang Yuan Bo, Wang Ning Li, Rong Shi Song, Thomas Ravi
AI Summary
In China, initial trabeculectomy for PACG is common, showing better IOP control and fewer complications than other treatments, suggesting its utility in this population.
Abstract
China has a large burden of primary angle-closure glaucoma (PACG) and the approach to treatment is different from that in most parts of the world. In China, trabeculectomy is a mainstay of initial treatment for PACG and laser peripheral iridotomy is reserved for PAC and PACG with peripheral angle synechiae ≤180 degrees. The greater reduction of and more stable IOP, lower frequency of acute angle closure, decreased progression of peripheral anterior synechia and glaucoma, and the reduction of ocular complications associated with long-term use of glaucoma medications support the use of initial trabeculectomy in PACG without significant lens opacities. Further study is required to determine the indications and effectiveness of initial trabeculectomy for PACG in a developing country setting.
MeSH Terms
Shields Classification
Key Concepts3
Trabeculectomy is a mainstay of initial treatment for primary angle-closure glaucoma (PACG) in China.
Laser peripheral iridotomy is reserved for primary angle-closure (PAC) and primary angle-closure glaucoma (PACG) with peripheral angle synechiae ≤180 degrees in China.
Initial trabeculectomy in primary angle-closure glaucoma (PACG) without significant lens opacities is supported by greater reduction of and more stable intraocular pressure (IOP), lower frequency of acute angle closure, decreased progression of peripheral anterior synechia and glaucoma, and reduction of ocular complications associated with long-term use of glaucoma medications.
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