118 consecutive patients with angle-closure glaucoma (ACG) were investigated. The primarily affected eye presented with acute ACG in 71 patients, with intermittent or chronic ACG in 41, and with acute ACG secondary to intumescent cataract in six. ACG was demonstrated in the fellow eye in 85 of the 118 patients (72 per cent.), including 72, 71, and 83 per cent. respectively of the three groups d...

This study compares long-term efficacy (up to 48 months) of cyclocryocoagulation and trabeculectomy in lowering the intraocular pressure (IOP). Intraocular pressure evolution after cyclocryocoagulation in one eye and trabeculectomy in the fellow eye for the treatment of primary open- and narrow-angle glaucoma was monitored in five patients. After 4 years both interventions were still active. Cy...

The results of a 12-month blind randomised trial comparing the intraocular pressure lowering effect of timolol 0.25% with timolol 0.5% are presented. 27% of patients (22% of eyes) required additional antiglaucoma medication after a minimum time interval of 6 months to maintain an intraocular pressure less than 23 mmHg. The mean reduction in intraocular pressure (from pretreatment values) at 12 ...

1 US Food and Drug Administration. Topamax (topiramate) tablets prescribing information. Available from: http://www.fda.gov/medwatch/ SAFETY/2003/topamax.htm / http://www.fda.gov/medwatch/ SAFETY/2003/topamax.htm [last accessed on 2007 Mar 30]. 2 Angehagen M, Ben-Menachem E, Rönnbäck L, Hansson E. Novel mechanisms of action of three antiepileptic drugs, vigabatrin, tiagabine and topiramate. Neu...

BACKGROUND A number of ocular biometric parameters, iris hiotologic and anatomic characters have been suggested as inciting factors for converting patients with narrow angle to angle-closure glaucoma. This study was conducted to determine if there was any goniscopic difference between patients with acute angle-closure glaucoma (AACG) and chronic angle-closure glaucoma (CACG). METHODS The stud...

To measure the Anterior Chamber depth, chamber angle with segment OCT and measuring intra ocular pressure before after Laser Peripheral Iridotomy in Primary Angle closure Disease. Methods: In primary patients both males females are selected variable ages. (AC) angles examined Gonioscopy configuration classified Shaffer System (1960) (1)The Intra Ocular Pressure (IOP) recorded applanation Tonome...

BACKGROUND The treatment for infantile glaucoma is surgical. Treatment options include goniotomy, trabeculotomy, combined trabeculotomy-trabeculectomy, and trabeculectomy. METHODS Patients who had a follow up of 5 years or longer after primary trabeculectomy were examined to determine the long term stability in infantile glaucoma. RESULTS In eyes with primary infantile glaucoma 92.3% achiev...

A PROVOCATIVE test is one that "calls forth" a particular response under a defined set of conditions. For many years, a rise in intra-ocular pressure has been known to follow various circumstances. In attempts to detect glaucoma before serious eye disease occurred or to assess its control, various provocative tests have been elaborated (Leydhecker and Miller, 1949). Because acute angle-closure ...

I am asked to orient my presentation to the practicing ophthalmologist in developing general operational guidelines for interpreting tonometric and ophthalmoscopic findings. I shall focus my attention on the adult primary glaucomas and briefly allude to some secondary forms. In discussions of this nature, it is customary to speak of open-angle glaucoma because of the complexity of its detection...

PURPOSE To report a case of bilateral acute myopia and angle closure glaucoma after ingestion of methazolamide. METHODS An interventional case report of a 70-year-old male who developed bilateral, acute myopia and angle closure glaucoma after ingesting methazolamide tablets for the treatment of normal tension glaucoma. RESULTS Bilateral anterior chamber shallowing associated with ciliary bo...