13.6.2
Primary Angle Closure Glaucoma
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 13, Ophthalmic Conditions.
Clinical Description
Glaucoma with a narrowed anterior chamber angle
Signs and Symptoms
- Sudden blurry vision, Redness, Headache and eye pain, Nausea, and vomiting
- Very high intraocular pressure
Treatment
- As for POAG
- Surgical treatment (definitive treatment)
- Bilateral Nd-YAG laser peripheral iridotomy
- Consider lens extraction and/or trabeculectomy (NB: Risk of aqueous misdirection syndrome)
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