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Singapore Med J. 1997 Jan;38(1):16-8.

Clinical course and outcome of primary acute angle-closure glaucoma in Singapore.

Author information

1
Department of Ophthalmology, National University Hospital, Singapore.

Abstract

PURPOSE:

Data is lacking with regard to the factors which may predict the outcome of an acute glaucoma eye to treatment and its long-term prognosis. This study was carried out to identify such factors, in particular among Singaporeans.

METHODS:

Fifty-seven eyes were included in this retrospective analysis and factors analysed included age and sex; the duration of onset of symptoms to the time they presented to hospital; state of pupil and presenting intraocular pressure (IOP); whether attack is terminated by medical treatment alone or a second procedure (eg laser, trabeculectomy) was required; final outcome with respect to the development of chronic angle closure glaucoma and state of pupil at last follow-up.

RESULTS:

Patients with 24 to 72 hours' delay in presentation had a relative risk of 2.78 (CI = 1.03-7.46) in developing chronic glaucoma. Those who required the addition of a laser procedure to control the initial presenting IOP while those who proceeded to a trabeculectomy had relative risks of 3.63 (CI = 1.49-8.89) and 4.83 (CI = 1.18-19.7) respectively in developing chronic glaucoma when compared to patients who did not require any secondary treatment.

CONCLUSION:

Delay in presentation, and unresponsiveness to medical treatment in termination of the acute attack in an acute angle closure glaucoma patient carry a significant risk of chronic glaucoma.

PMID:
9269347
[Indexed for MEDLINE]

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