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Article: Management of Secondary Angle Closure Glaucoma.

Parivadhini, Annadurai / Lingam, Vijaya

Journal of current glaucoma practice

2014 Volume 8, Issue 1, Page(s) 25–32

Abstract: Secondary angle closure glaucomas are a distinct entity from primary angle closure glaucoma (PACG ... of each type of secondary angle closure glaucoma is varied, so identification of the primary cause aids ... Unlike PACG, secondary angle closure glaucoma's have an identifable contributory factor/s for angle ...

Abstract	Secondary angle closure glaucomas are a distinct entity from primary angle closure glaucoma (PACG). Unlike PACG, secondary angle closure glaucoma's have an identifable contributory factor/s for angle closure and obstruction of aqueous fow which is usually unrelieved by iridotomy. The treatment of each type of secondary angle closure glaucoma is varied, so identification of the primary cause aids in its effective management. How to cite this article: Annadurai P, Vijaya L. Management of Secondary Angle Closure Glaucoma. J Current Glau Prac 2014;8(1):25-32.
Language	English
Publishing date	2014-01-16
Publishing country	India
Document type	Journal Article ; Review
ISSN	0974-0333
ISSN	0974-0333
DOI	10.5005/jp-journals-10008-1157
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Article: Management of bilateral microspherophakia with secondary angle closure glaucoma.

Malik, K Ps / Goel, R / Jain, K / Nagpal, S / Singh, S

Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH

2015 Volume 7, Issue 1, Page(s) 69–73

Abstract: ... with angle closure glaucoma, the management can be challenging.: Objective: To report the management of a case of bilateral ... secondary angle closure glaucoma with isolated microspherophakia and right subluxated lens in a middle aged ... lady.: Case: A 47-year-old female presented with bilateral secondary angle closure glaucoma ...

Abstract	Background: Microspherophakia is characterized by lenticular myopia, late development of lens dislocation, shallow anterior chamber and angle-closure glaucoma. If it is associated with angle closure glaucoma, the management can be challenging. Objective: To report the management of a case of bilateral secondary angle closure glaucoma with isolated microspherophakia and right subluxated lens in a middle aged lady. Case: A 47-year-old female presented with bilateral secondary angle closure glaucoma with isolated microspherophakia, right subluxated lens and left operated trabeculectomy. The patient`s best corrected log mar visual acuity improved from 1.0 to 0.2 and intraocular pressure (IOP) decreased from 24.9mm of Hg to lower teens following lensectomy with scleral fixation of posterior chamber intraocular lens in the right eye. The left eye IOP remained in mid teens without medication in two year follow up. Conclusion: This case demonstrates that microspherophakia should be ruled out even in middle aged patients presenting as angle closure glaucoma. The possibility of thickened cornea must be kept in mind requiring an IOP correction. Lensectomy with scleral fixation of posterior chamber IOL provides a satisfactory recovery of visual acuity and IOP control. Though in this patient, the lens was held in position by posterior synechiae in the left eye, future stability of zonules needs to be monitored.
MeSH term(s)	Cataract Extraction ; Corneal Diseases/complications ; Corneal Diseases/diagnosis ; Corneal Diseases/surgery ; Ectopia Lentis/complications ; Ectopia Lentis/diagnosis ; Ectopia Lentis/surgery ; Female ; Glaucoma/complications ; Glaucoma/diagnosis ; Glaucoma/surgery ; Glaucoma, Angle-Closure/diagnosis ; Glaucoma, Angle-Closure/etiology ; Glaucoma, Angle-Closure/surgery ; Humans ; Intraocular Pressure/physiology ; Iridectomy ; Iris/abnormalities ; Iris/surgery ; Lens Implantation, Intraocular ; Lens Subluxation/diagnosis ; Lens Subluxation/etiology ; Lens Subluxation/surgery ; Lens, Crystalline/surgery ; Middle Aged ; Tonometry, Ocular ; Visual Acuity/physiology
Language	English
Publishing date	2015-01
Publishing country	Nepal
Document type	Case Reports ; Journal Article
ZDB-ID	2596436-7
ISSN	2091-0320 ; 2072-6805
ISSN (online)	2091-0320
ISSN	2072-6805
DOI	10.3126/nepjoph.v7i1.13174
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Article ; Online: Combined Capsular Tension Ring and Segment Implantation in Phacoemulsification Surgery for the Management of Microspherophakia with Secondary Angle-Closure Glaucoma.

Solmaz, Nilgun / Oba, Turker / Onder, Feyza

Beyoglu eye journal

2023 Volume 8, Issue 2, Page(s) 123–127

Abstract: ... patient. The patient had uncontrolled secondary angle-closure glaucoma, despite previous laser peripheral ... capsular tension segments (CTS) together for the management of mikrospherophakia in a 35-year-old female ...

Abstract	We present the long-term results of the implantation of a capsular tension ring (CTR) and Ahmed capsular tension segments (CTS) together for the management of mikrospherophakia in a 35-year-old female patient. The patient had uncontrolled secondary angle-closure glaucoma, despite previous laser peripheral iridotomy, and visual impairment due to lenticular myopia. Clear lens extraction was performed under general anesthesia. The capsular bag was stabilized with a classical CTR and two Ahmed CTSs sutured to the sclera. A single-piece hydrophobic acrylic intraocular lens (32.0 D for the right and 30.0 D for the left eye) was implanted in the capsular bag. The anterior chamber depth was stable, and intraocular pressure (IOP) was 10-12 mmHg in both eyes in the early post-operative period. The bag complex gradually moved forward, IOP gradually increased, and the left eye underwent trabeculectomy surgery in the 4
Language	English
Publishing date	2023-05-01
Publishing country	Turkey
Document type	Case Reports
ZDB-ID	3031466-5
ISSN	2587-0394 ; 2459-1777
ISSN (online)	2587-0394
ISSN	2459-1777
DOI	10.14744/bej.2023.57625
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Article ; Online: Various modalities for management of secondary angle closure neovascular glaucoma in diabetic eyes: 1-year comparative study.

El-Saied, Heba Magdy Ahmed / Abdelhakim, Mohamad Amr Salah Eddin

International ophthalmology

2021 Volume 41, Issue 4, Page(s) 1179–1190

Abstract: Purpose: To compare outcome of 4 methods for management of angle closure neovascular glaucoma (NVG ... significantly different among the 4 groups.: Conclusion: The 4 management options showed a significant ...

Abstract	Purpose: To compare outcome of 4 methods for management of angle closure neovascular glaucoma (NVG) in diabetic eyes. Methods: Prospective comparative study, on 40 eyes (40 patients) with NVG. Patients were randomly assigned to group A (Trabeculectomy with MMC), B (Ahmed valve), C (Ex-Press Minishunt with MMC) or D (Diode cyclophotocoagulation). Patients were followed regularly for 1 year. Main outcome measures: intraocular pressure (IOP), best corrected visual acuity (BCVA), central foveal thickness (CFT), intraoperative bleeding, postoperative complications and 2ry intervention. Results: Preoperative data were not significantly different between 4 groups. Postoperatively, there was significant drop in IOP in each group at each follow-up. Ahmed valve group showed least mean postoperative IOP and highest mean drop of the IOP at 1 day and 1 week postoperatively, while Ex-Press minishunt group had least mean postoperative IOP at 1 month and 3 months postoperatively. At 6 months and 1 year, there was no significant difference between 4 groups. BCVA was not significantly different between 4 groups. At 1 year, CFT was significantly lower in each of the 4 groups, and it was significantly the least in group A and highest in group D. Highest intraoperative bleeding was observed with trabeculectomy. Success rate was not significantly different among the 4 groups. Conclusion: The 4 management options showed a significant long-term effect on IOP, and on long-terms there was no significant difference between them for IOP and BCVA. Trabeculectomy showed highest incidence of intraoperative bleeding, while cyclophotocoagulation showed none.
MeSH term(s)	Diabetes Mellitus ; Glaucoma, Neovascular/diagnosis ; Glaucoma, Neovascular/etiology ; Glaucoma, Neovascular/surgery ; Humans ; Intraocular Pressure ; Prospective Studies ; Tonometry, Ocular ; Trabeculectomy ; Treatment Outcome
Language	English
Publishing date	2021-01-02
Publishing country	Netherlands
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	800087-6
ISSN	1573-2630 ; 0165-5701
ISSN (online)	1573-2630
ISSN	0165-5701
DOI	10.1007/s10792-020-01673-1
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Article ; Online: Surgical management of glaucoma in microspherophakia using quadruple procedure.

Rajendrababu, Sharmila R / Ramesh, Sujitha / Kannan, Naresh B / Rao, Mythri K

Indian journal of ophthalmology

2023 Volume 71, Issue 11, Page(s) 3578

Abstract: ... quadruple surgery in a microspherophakic patient with secondary angle closure glaucoma. The authors also ... angle closure glaucoma. It is associated with subluxated or dislocated lens, progressive myopia, defective accommodation ... and glaucoma. Glaucoma is the most common vision-threatening complication and mostly requires surgical ...

Abstract	Background: Microspherophakia is a rare developmental lens anomaly with increased anteroposterior and reduced equatorial diameter. It presents with refractive myopia, shallow anterior chamber, and angle closure glaucoma. It is associated with subluxated or dislocated lens, progressive myopia, defective accommodation, and glaucoma. Glaucoma is the most common vision-threatening complication and mostly requires surgical management that includes trabeculectomy, lensectomy, and drainage implant. A staged or combined procedure can be performed. The purpose of this video is to highlight the advantages of combining parsplana vitrectomy (PPV) with parsplana lensectomy (PPL), scleral fixated intraocular lens (SFIOL), and Aurolab aqueous drainage implant (AADI) in a young patient with advanced glaucoma and gross subluxation. Drainage implants are preferred over filtering surgeries in eyes undergoing vitreoretinal procedures due to the risk of bleb fibrosis and hypotony seen in the latter. The combined procedures should be tailored according to the lens status and severity of glaucoma in each patient. Purpose: The purpose of this video is to illustrate a combined quadruple procedure (PPL, PPV, SFIOL, and AADI) in microspherophakic patients with unstable glaucoma and video-based skill transfer to a novice surgeon. Synopsis: This video illustrates quadruple surgery in a microspherophakic patient with secondary angle closure glaucoma. The authors also emphasize the advantages of a combined quadruple procedure over staged procedure or combined PPL with filtering procedure. Highlights: Quadruple procedure can be performed in young microspherophakic patients with advanced glaucoma or at risk of progression and losing central vision along with gross subluxation of lens. It eliminates the need for multiple procedures, the risk of hypotony, and bleb-related complications. Video link: https://youtu.be/KdFjb7acXCI.
MeSH term(s)	Humans ; Glaucoma, Angle-Closure/surgery ; Intraocular Pressure ; Visual Acuity ; Glaucoma/complications ; Glaucoma/surgery ; Retrospective Studies
Language	English
Publishing date	2023-12-06
Publishing country	India
Document type	Video-Audio Media ; Journal Article
ZDB-ID	187392-1
ISSN	1998-3689 ; 0301-4738
ISSN (online)	1998-3689
ISSN	0301-4738
DOI	10.4103/IJO.IJO_733_23
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Article ; Online: Primary Transscleral Diode Laser Cyclophotocoagulation for Management of Glaucoma in Nanophthalmic Eyes.

Abdelrahman, Ahmed M / Ismail, Yomna M

Journal of glaucoma

2023 Volume 33, Issue 4, Page(s) e15–e18

Abstract: ... cyclophotocoagulation in controlling intraocular pressure in patients with secondary angle closure glaucoma due ... study that included 13 eyes of 8 patients diagnosed with secondary angle closure glaucoma due ... Transscleral cyclophotocoagulation is a safe and effective primary therapy for managing glaucoma ...

Abstract	Purpose: The aim of this study was to assess the efficacy and safety of double-row transscleral cyclophotocoagulation in controlling intraocular pressure in patients with secondary angle closure glaucoma due to nanophthalmos, not being controlled by medical therapy. Patients and methods: A prospective case series study that included 13 eyes of 8 patients diagnosed with secondary angle closure glaucoma due to nanophthalmos at the Giza Eye Subspeciality Center, treated by 24 cyclodiode applications in a double-row technique. Success was defined as complete success by control of intraocular pressure <21 mm Hg without medication and qualified success in which control of pressure <21 mm Hg achieved with 1 or 2 medications. Results: The average reduction in intraocular pressure at 3 months was 57.3±20.14% and at 6 months 44.5±32%, with an average eye drop intake of 1.3±0.8 drops. There was a significant reduction of intraocular pressure at 6 months compared with the preprocedure pressure ( P =0.01). Complete success achieved in 3 eyes, pressure controlled without any medication, and qualified success in 9 eyes. Conclusion: Transscleral cyclophotocoagulation is a safe and effective primary therapy for managing glaucoma in nanophthalmic eyes.
MeSH term(s)	Humans ; Intraocular Pressure ; Glaucoma, Angle-Closure/surgery ; Lasers, Semiconductor/therapeutic use ; Microphthalmos ; Laser Coagulation/methods ; Treatment Outcome ; Glaucoma/complications ; Glaucoma/diagnosis ; Glaucoma/surgery ; Ciliary Body/surgery
Language	English
Publishing date	2023-08-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	913494-3
ISSN	1536-481X ; 1057-0829
ISSN (online)	1536-481X
ISSN	1057-0829
DOI	10.1097/IJG.0000000000002284
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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: PreserFlo Microshunt for the management of intraocular pressure elevation in iridocorneal endothelial syndrome.

Ruparelia, Sunil / Darwich, Rami / Eadie, Brennan D

American journal of ophthalmology case reports

2023 Volume 32, Page(s) 101932

Abstract: Purpose: To report on a case of angle-closure glaucoma secondary to iridocorneal endothelial (ICE ... implantation of a PreserFlo Microshunt in a 57-year-old patient with secondary angle-closure glaucoma ... syndrome effectively managed with the PreserFlo Microshunt.: Observations: We report successful ...

Abstract	Purpose: To report on a case of angle-closure glaucoma secondary to iridocorneal endothelial (ICE) syndrome effectively managed with the PreserFlo Microshunt. Observations: We report successful implantation of a PreserFlo Microshunt in a 57-year-old patient with secondary angle-closure glaucoma in the context of ICE syndrome. Following failure of medical therapy to adequately control intraocular pressure (IOP), the patient was consented for surgical intervention and underwent combined cataract surgery and PreserFlo Microshunt implantation. IOP at the last post-operative follow-up (5 months) was 12 mmHg with the patient on brinzolamide/timolol maleate (Azarga®). We report no complications in the post-operative period. Conclusions and importance: The PreserFlo Microshunt may be a promising option for patients with ICE syndrome who fail medical therapy. Implantation of this device was well tolerated in the presented case.
Language	English
Publishing date	2023-09-22
Publishing country	United States
Document type	Case Reports
ISSN	2451-9936
ISSN (online)	2451-9936
DOI	10.1016/j.ajoc.2023.101932
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Article: A New Mechanism of Silicone Oil-Induced Glaucoma and Its Management.

Kumar, Harsh / Talwar, Dinesh / Thulasidas, Mithun / Taneja, Surbi

Case reports in ophthalmological medicine

2022 Volume 2022, Page(s) 2343139

Abstract: Purpose: To describe a case of secondary acute angle closure glaucoma due to silicone oil ... Conclusion: This case report highlights a new mechanism of silicone oil-induced glaucoma and the technique ... migration into the posterior chamber causing entrapment of aqueous and its successful management ...

Abstract	Purpose: To describe a case of secondary acute angle closure glaucoma due to silicone oil migration into the posterior chamber causing entrapment of aqueous and its successful management. Conclusion: This case report highlights a new mechanism of silicone oil-induced glaucoma and the technique of performing LPI in the area of iridocorneal apposition, for the first time in the literature. Silicone oil migration into the posterior chamber from the vitreous cavity in the presence of zonular dehiscence can push the iris forward and lead to iridocorneal apposition, resulting in an acute rise in IOP. Performing LPI within the area of iridocorneal apposition can help the aqueous seep into the anterior chamber and release the silicone oil globule trapped behind the iris to enter the anterior chamber, thus relieving the iridocorneal adhesions and lowering the IOP.
Language	English
Publishing date	2022-06-02
Publishing country	United States
Document type	Case Reports
ZDB-ID	2659091-8
ISSN	2090-6730 ; 2090-6722
ISSN (online)	2090-6730
ISSN	2090-6722
DOI	10.1155/2022/2343139
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Article: Exploring the Relationship between Anti-VEGF Therapy and Glaucoma: Implications for Management Strategies.

Daka, Qëndresë / Špegel, Nina / Atanasovska Velkovska, Makedonka / Steblovnik, Tjaša / Kolko, Miriam / Neziri, Burim / Cvenkel, Barbara

Journal of clinical medicine

2023 Volume 12, Issue 14

Abstract: ... lowering treatment are recommended for high-risk patients, including those with glaucoma, angle-closure ... VEGF therapy, but a sustained increase in IOP with the development of secondary glaucoma has also been ... anomalies, ocular hypertension or family history of glaucoma; patients receiving a high number of injections ...

Abstract	A short-term increase in intraocular pressure (IOP) is a common side effect after intravitreal anti-VEGF therapy, but a sustained increase in IOP with the development of secondary glaucoma has also been reported in some studies after repeated intravitreal anti-VEGF injections. The aim of this review is to present and discuss the possible pathophysiological mechanisms and factors contributing to a sustained rise in IOP, as well as treatment strategies for patients at risk. Close monitoring and adjustable IOP-lowering treatment are recommended for high-risk patients, including those with glaucoma, angle-closure anomalies, ocular hypertension or family history of glaucoma; patients receiving a high number of injections or at shorter intervals; and patients with capsulotomy. Strategies are needed to identify patients at risk in a timely manner and to prevent sustained elevation of IOP.
Language	English
Publishing date	2023-07-14
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12144674
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Article: Lessons From Management: Perioperative Phacoemulsification Planning Following Resolution of Acute Angle Closure.

Lee, Brendon W H / Lau, Fiona S / Wong, Elizabeth L / Lam, Danny / Francis, Ian C

Cureus

2021 Volume 13, Issue 4, Page(s) e14331

Abstract: ... angle closure glaucoma may not have evident zonular laxity preoperatively, as the iris may be taut ... Patients with loose zonular apparatus after acute angle closure may require phacoemulsification ... that require consideration in patients undergoing cataract surgery following acute angle closure. ...

Abstract	Patients with loose zonular apparatus after acute angle closure may require phacoemulsification cataract surgery. The authors' experience from management of such patients provides excellent instruction on the surgical intervention for their cataracts. This is because patients who have recovered from acute angle closure glaucoma may not have evident zonular laxity preoperatively, as the iris may be taut secondary to the effects of associated ischaemia. If the surgeon's preoperative planning is directed to the possibility of loose zonular apparatus, then appropriate preoperative, intraoperative, and postoperative planning and management can be effected. This may permit preoperative patient counselling regarding the potentially increased complexity of the case. Intraoperatively, deliberately gentle capsulorrhexis, the use of iris hooks or a pupil expander to dilate the pupil, iris hooks to support the capsular bag, and the employment of a capsular tension ring may be helpful. Postoperatively, due to the previous ocular ischaemia, intraocular pressure elevation may ensue, and should be actively managed. The authors provide a summary of factors that require consideration in patients undergoing cataract surgery following acute angle closure.
Language	English
Publishing date	2021-04-06
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.14331
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